Medicare Coverage for Insulin Pumps

An insulin dependent diabetic can be expensive if you are on Medicare. Insulin pumps are usually covered by Medicare.

Insulin is covered by Medicare.

Medicare Part D covers insulin except when it is covered by Part B.

Insulin under Part D can cost you several hundred dollars per month. If covered by Part B  your out of pocket can be $0.

CGM’s (Continuous Glucose Monitors) are covered by Medicare . . . except when they aren’t.

Some pumps may be CGM’s but not all CGM’s are pumps.

Continuous Glucose Monitors have sensors that are not covered by Medicare. Unless you have a specific brand and model of CGM.

The Dexcom G5 CGM is approved by Medicare but only if you do not use your smart phone to monitor your glucose.

For more information on the challenges of dealing with Medicare when you have a Continuous Glucose Monitor, read Does Medicare Pay for Glucose Monitors?

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