Diabetes Supplies and Blood Glucose Monitors
A variety of devices are available to help you manage your diabetes. Blood glucose (sugar) monitoring is a vital method of evaluating the effectiveness of the methods being used to control one’s blood glucose. Meals, exercise and medications are just a few things that affect blood sugar. By checking the blood sugar at home, one can determine–along with their health care provider–what changes, if any, should be made in their treatment regimen.
We carry:
Blood glucose monitors
Blood glucose monitor strips
Lancet devices
Lancets
Blood glucose monitor control solutions
Blood glucose monitor batteries
Blood glucose monitor logbooks
Alcohol / Alcohol Swabs
Sharps disposal boxes (for syringes & lancets)
Syringe magnifiers
Urine ketone test strips
Glucose tablets & gels (for low blood sugar reactions)
Patient education literature & videotapes
We bill Medicaid, Medicare and most major Third Party Insurers direct for diabetes supplies. This means no up-front, out-of-pocket expense and no claim forms to be filled out by you!
A diagnosis of hypoglycemia does not qualify for payment of blood glucose monitoring supplies.
Many Third Party Insurers cover these supplies. Contact us for information concerning your insurance plan’s guidelines.
Following are some of the applicable guidelines:
Medicare and Medicaid cover diabetes testing supplies (blood glucose monitors, lancets and strips) for all patients with a diagnosis of diabetes. There are many regulations and criteria that we need to follow and, therefore, we are asking your cooperation in this matter.
New written prescriptions must be obtained by you from your physician every 6 months. A faxed copy of original or renewal orders is acceptable. It is your responsibility to obtain these prescriptions from your physician. The prescription must include the following information to be covered:
Type of supplies required (meter, strips, lancets, etc)
Quantity needed
Number of times per day to test ("test as needed" or "test as directed" is not acceptable)
Diagnosis or diagnosis code
Whether patient is being treated with insulin or not
Physician’s signature
If all criteria are met:
of the cost of these supplies after your yearly $100 deductible has been met. If you have a Medicare supplemental insurance it will cover the remaining 20% that is not covered by Medicare.
- Medicare will cover 80%
Medicaid will cover 100% with no co-payment. If you have both Medicare and Medicaid, Medicare is considered the primary insurer with Medicaid being the supplemental. After your deductible is met, 100% of the cost of the supplies will be covered.
There are limits on the quantity of supplies which may be obtained:
insulin-treated diabetics 100 strips & lancets / month
non-insulin-treated diabetics 100 strips every month & 100 lancets every 55 days
Medicare patients that require quantities of supplies in excess than noted above may do so if their physician documents the reason why and can show that the patient is and needs to be testing more frequently.
Medicaid patients may only obtain more than the quantities noted above with a prior authorization which your physician must submit with documentation to Medicaid.
If you or your physician have any questions, please feel free to come in or call.
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