Page 8 - Cover Letter and Evaluation for Patti Messerschmitt
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8 Section 1: Medicare Coverage for Diabetes At-a-Glance
Supply/service What’s covered What you pay
Insulin pumps Part B covers external durable 20% of the Medicare-approved
See page 13 . insulin pumps and the insulin that amount after the yearly Part B
the device uses under the durable deductible
medical equipment benefit if you
meet certain conditions .
Medical nutrition Part B may cover medical nutrition No copayment, coinsurance, or
therapy services therapy (MNT) and certain related Part B deductible if your doctor
See pages 22–23 . services if you have diabetes or or health care provider accepts
kidney disease . Your doctor or assignment
other health care provider must
refer you for the MNT services .
Therapeutic shoes or Part B covers therapeutic shoes or 20% of the Medicare-approved
inserts inserts for people with diabetes who amount after the yearly Part B
See page 13 . have severe diabetic foot disease . deductible
“Welcome to Medicare” Within the first 12 months you have No copayment, coinsurance, or
preventive visit See page Part B, Medicare covers a one- Part B deductible if your doctor
24 . time review of your health, and or health care provider accepts
education and counseling about assignment
preventive services, including
certain screenings, shots, and
referrals for other care, if needed .
Yearly “Wellness” visit If you’ve already had Part B for No copayment, coinsurance or
See page 24 . longer than 12 months, you can get Part B deductible if your doctor
a yearly “Wellness” visit to develop or health care provider accepts
or update a personalized prevention assignment
plan based on your current health If you had a “Welcome to
and risk factors .
Medicare” visit, you’ll have to wait
12 months before you can get your
first yearly “Wellness” visit
