Medicare and diabetes

Medicare covers tests to screen for diabetes as well as services and supplies to help treat the disease. Medicare covers blood tests to screen for diabetes if you are at risk for diabetes or have pre-diabetes.
You are eligible for one Medicare-covered diabetes screening every 12 months if you:
  • have hypertension;
  • have dyslipidemia (any kind of cholesterol problem);
  • have a prior blood test showing low glucose (sugar) tolerance;
  • are obese (body mass index of 30 or more); or
  • meet at least two of the following:
    • you are overweight (body mass index between 25 and 30);
    • you have a family history of diabetes;
    • you have a history of diabetes during pregnancy (gestational diabetes) or have had a baby over nine pounds; or
    • you are 65 years of age or older.

The Medicare-covered diabetes screening test includes:

  • a fasting blood glucose tests; and/or
  • a post-glucose challenge test.
If you have been diagnosed with pre-diabetes, Medicare will cover two diabetes screening tests a calendar year. Having pre-diabetes means you have blood glucose (sugar) levels that are higher than normal, but are not high enough to be classified as diabetes.

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