Three-Month Medicare MD Visit Requirement?

Terry and others, here is where my question lies. Because I use the OmniPod, my PDM controller, my pump supplies (the Pods themselves), and my insulin are all covered under Part D. Medicare considers the OmniPod a drug rather than DME, and the insulin, then, goes under Part D also. The only thing that falls under Part B for me right now is the test strips (which Medicare considers DME); therefore, the only reason I would have to go to my Endocrinologist every 90 days is to get the test strips.

I also am confused about the timing. You are saying that appointments have to be 90 days (or less?), yet my Endo’s office told me that Medicare would only pay for an A1C test if the timing was BEYOND 90-days, so they scheduled my next appointment for one day BEYOND the 90-day limit.

I wonder, financially, if I would be better off skipping the every-90-day Endo appointments and just paying for the test strips out-of-pocket. I am fine seeing my Endo only twice a year because I have access to her office with any questions that I have via phone or email at any time.

Medicare is SO confusing!

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