Medicare and Diabetic Supplies
Diabetes affects more than 9% of the U.S. population, making it a major public health crisis. If you are a diabetes patient who will be entering the Medicare population soon, you’ll want to know about your coverage for vital supplies. We’re glad to report that most of your diabetic needs are met by Original Medicare. Here’s what you can expect.
When you enroll in Medicare Part B during your Initial Enrollment Period, you get extensive outpatient coverage, including diabetic testing supplies such as glucose test strips, blood sugar testing monitors, and some diabetic services, including an annual eye exam, a foot exam, glaucoma testing, and self-management training. But it’s important to be aware that you once your doctor accepts assignment from Medicare, you will need a prescription from your provider. Then you’ll be responsible for 20% of the approved cost for the supplies. Buying over-the-counter without a prescription means you’ll cover the total bill — always go to the pharmacy department; they can run your claim through Medicare. medigapcoverage.com powered by pollen recommends that you get complete coverage with a Medicare supplement plan such as Plan F, which will take care of 100% of your Part B surcharges and all Part A and Part B coverage gaps, such as coinsurance and deductibles. Since you’ll need prescription medications, a Part D policy is also our recommendation. With this suite of Medicare products, you should be protected from out-of-pocket expenses. You have the choice of many Medigap plans offering different coverage levels. We can help you find the right one for you. Just call us at 1-833-245-0614.
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You’ll get very good coverage, including diabetic testing supplies such as glucose test strips, blood sugar testing monitors, and some diabetic services, including an annual eye exam, a foot exam, glaucoma testing, and self-management training.
Once you get a doctor’s prescription, Medicare Part B will cover 80% of your diabetic supplies, and you’ll be responsible for the remaining 20%. A Medigap plan such as Plan F will cover 100% of your Part B surcharges and all your Part A and Part B coverage gaps, including copays and deductibles.
- Best overall Medicare supplement for new enrollees: Plan G.
- Best overall Medicare supplement before 2020: Plan F.
- Best low cost Medicare supplement: Plan K.
- Best alternative to Plan G Medicare supplement: Plan N.
Medicare Supplement policies are private health insurance designed to cover gaps in Original Medicare. They are also known as Medigap plans. These take care of costs such as copays, coinsurance, and deductibles which can become expensive if you need regular care from a doctor or hospital. If you need medical care while traveling outside the U.S., you can buy Medigap policies to help cover those costs. As a supplement to Original Medicare, you’re required to have Part A and Part B before you canget a Medigap policy. This way, Medicare is responsible for the Medicare-approved costs of the covered care, and the remainder is covered by your Medigap plan.
Optimal coverage comes with higher costs, making Plan F the most expensive Medigap plan. Plan F is known as “first-dollar coverage” and it takes care of everything provided during a doctor or hospital visit. Your only responsibility is for dental, vision, medications, and equipment, such as hearing aids.
The Federal government ended the Plan F option for new enrollees last year to keep the healthcare system from being overused by patients who had their deductibles covered. The next best coverage after Plan F is Plan G.
Medigap Plan G offers every advantage of Plan F except for the deductible, which you have to cover. Because it isn’t as comprehensive as Plan F, Plan G is more affordable.
For people who don’t go to the doctor often, Plan K is worth considering. It is the most affordable because it provides just 50% of Medicare Part B coinsurance, the Part A deductible, blood, skilled nursing, and Part A hospice costs. For comparison, Plan G and others offer full coverage of these expenses, and more.
It’s hard to argue against plans which cut your traditional Medicare costs. For most people, having the extra coverage these supplemental plans provide is common sense, unless they want the specific features of a Medicare Advantage plan.
Most people would benefit from not having to pay out-of-pocket to stay healthy. Medicare supplement insurance or a Medicare Advantage plan offer vital savings now, but are indispensable should a catastrophic health issue occur.
Of the 10 Medicare-approved Medigap plans, Plan G and Plan N are the most popular. Plan F is no longer available to new Medicare enrollees as of 2020, but it is still popular among people who bought this plan prior to 2020.
- Plan F$128–$342
- Plan F (high deductible)$22–$88
- Plan G$106–$325
- Plan G (high deductible)$29–$58
Before getting a Medicare supplement plan, you need to be enrolled in Medicare Part A (hospital insurance) and Part B (medical insurance). People with Medicare Advantage Plans who want to go back to Original Medicare can buy a Medigap policy prior to switching.
The security of having lower or no out-of-pocket healthcare costs can offset the premiums you’ll have to pay for whichever Medigap plan you choose, which vary depending on the benefits offered.
The national average cost for Medicare Supplement Plan F is $1,824 annually, which is $152/month; Medigap Plan G will cost you around $143 per month.
Since Plan F was discontinued for new enrollees as of 2020, Plan G offers the most coverage for people 65 and older. It has a lower premium than Plan F and duplicates its benefits, except for the Part B deductible.
It depends on your specific needs, but for most people a Medigap plan is very useful in supplementing the coverage of Medicare Part A and Part B. A Medicare Advantage plan is an affordable way to get healthcare coverage not offered by Original Medicare.
Historically, Plan F has been the most popular because it covers all the out-of-pocket costs Medicare does’t pay for. This includes the 15% extra charge billed by providers who do not take Medicare as full payment.