In the United States of America, medicare is the health insurance plan that caters to citizens aged 65 years and older. However, in some exceptional instances, even younger people will be brought under this scheme. The scheme is administered in 4 distinct parts. Part A covers hospital insurance while Part B deals with medical insurance. Part C comprises of medicare advantage plans and part D caters to prescription drug coverage. Part B is the relevant plan that applies to diabetic supplies medicare. Considering the fact that nearly 29 million Americans suffer from diabetes in one form or the other and many of them are senior citizens, this measure benefits a large population of diabetic patients in America. The following are among the benefits provided under the scheme.
Self testing supplies to test blood glucose levels including strips to test blood glucose, blood glucose meters, lancet devices, glucose and lancet control solution are covered under the scheme.
Diabetes patients aged 65 years and more are entitled to 100 lancets and strips every calendar month. However, patients who are not insulin dependent will receive the same volume of supplies every three months instead of every month for insulin dependent patients. Additional supplies will however be made available subject to your doctor certifying that it is medically essential.
The following are among steps that will ensure full benefits diabetic supplies medicare:-
- Before ordering your supplies from a medical equipment provider/pharmacy, check if the vendor is enrolled under medicare and can accept an assignment.
- Test strips and lancets are needed regularly and therefore, you are better off with a prescription for 12 months. This way, it is easier for your health care provider to organize supplies at regular intervals.
- Rarely though, you may come across a situation where an enrolled pharmacy is not available in your immediate neighborhood. If this happens to you, take to the internet and establish contact with Non profits like the American diabetes association. Alternatively, you can also find a website that accepts an order and can deliver the supplies at your physical address.
The prescription that you obtain from your doctor is an important document that will help you get the maximum benefits from medicare and particularly so diabetic supplies medicare. Your prescription must include the following information among other details that the doctor may consider necessary.
- That you have diabetes
- The type of blood glucose meter needed and reasons for choosing the particular type.
- Vision monitor if required – an explanation from the doctor is essential
- Frequency of blood glucose test
- Whether insulin dependent or not
When you need equipment for testing blood glucose and other supplies related to diabetic care, you can order the supplies and pick them up at your pharmacy if that is more convenient to you. However, you will have to take the following precautions to comply with the Medicare terms.
- The pharmacy and the supplier will need to be enrolled under Medicare. If you pick up your supplies from non enrolled pharmacy/supplier, you will be required to pay for the supplies in entirety and Medicare will not reimburse the costs.
- All supplies obtained under Medicare should be supported by your doctor’s prescription
- Automatic deliveries from suppliers (without an order from you)will not be paid for
- Claim for reimbursement against supplied under Medicare can be preferred only by the pharmacy or the supplier. Beneficiary cannot file a claim for reimbursement.
- Some pharmacies may not accept assignments under Medicare. If you cannot find another pharmacy that accepts Medicare assignment, you will have to pay the entire cost of supplies and claim reimbursement from Medicare. However, this process will be more expensive for you and you are better off finding a pharmacy that accepts Medicare assignments. Given the fact that Diabetes supplies will be needed throughout your existence, it helps to align with a pharmacy in your neighborhood that accepts Medicare assignments.
Under certain conditions and subject to your doctor’s prescription, Medicare will also provide therapeutic shoes /inserts. Depending on individual conditions, your doctor will recommend therapeutic shoes / inserts or special shoes etc. Your doctor’s certification should include the following:-
- You have diabetes
- Foot ulcers from the past
- Complete or partial foot amputation
- Deformed foot or poor blood circulation
- That you are under a comprehensive diabetic treatment plan and that the therapeutic shoes are needed.
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