I am planning to enroll in Medicare Plans B, D and F next spring after retirement. There is a quite a bit of financial burden for insulin pen supplies (or Omnipod) under Plan D. UHC’s medical policy # 2018T0347Z, “Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes” has detailed explanation of their policy. Although I have no experience of the DME coverage for Insulin Infusion Pumps and CGMs in Medicare Plan B, I feel this UHC’s medical policy for DME is probably close to Medicare Plan B and D.
I just got a Dexcom G6, which was covered under my current prescription drug plan by Express Scripts/Medco, subject to my annual deductible. This drug plan also covers the Insulin Infusion Pump accessories, except for the pump itself, which is covered under UHC’s DME policy and subject to higher deductible. For T2DM, the C-Peptide test must be below 110% of low normal range to qualify for Medicare Plan B DME coverage. Then it will be paid for by Medicare Plan B.
I am also looking for “Diabetes Friendly” Insurance Companies for Medicare Plans B, D and F. Maybe all insurance companies are the same under Medicare guidelines. Appreciate to learn more from others who have experiences.