Medicare & Reimbursement
Medicare benefits, insurance coverage and reimbursement can be very confusing. It is often difficult to figure out which diabetes care products are covered.
Learn more about:
What products does Medicare cover?
If you are receiving Medicare Part B benefits, you can be reimbursed for most of your costs. This applies to you whether you use insulin or not.
These diabetes care products from Bayer are covered under the Medicare Benefits:
- CONTOUR® Blood Glucose Monitoring System from Bayer
- BREEZE®2 Blood Glucose Monitoring System from Bayer
- CONTOUR® TS Blood Glucose Monitoring System from Bayer
- BREEZE® Blood Glucose Monitoring System from Bayer
- BREEZE®2 Blood Glucose Test Strips
- ELITE®/XL Blood Glucose Test Strips
- Control Solutions
- Meter replacement batteries
- MICROLET® Adjustable Lancing Device
- MICROLET® VACULANCE® Lancing Device
- MICROLET® Lancets (100s)
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How much do I pay?
Medicare will reimburse either 80% of the Medicare-approved amount or 80% of the retail price, whichever is lower. This means that once the annual "Part B" deductible is paid, you pay the other 20%. If you have supplemental or secondary insurance, you may pay even less than the 20%.
Many pharmacies and medical equipment suppliers will take care of all the Medicare paperwork and billing submissions for you. Ask if this service is offered before you buy your diabetes testing supplies.
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What are the Medicare reimbursement guidelines?
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Product |
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For insulin treated patients |
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For non-insulin treated patients |
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Blood Glucose Monitoring Systems from Bayer |
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1 every 5 years |
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1 every 5 years |
|
|
|
Bayer Diabetes Test Strips |
|
100 per month |
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100 every 3 months |
|
|
|
MICROLET® Adjustable Lancing Device |
|
1 every 6 months* |
|
1 every 6 months |
|
|
|
MICROLET® VACULANCE® Lancing Device |
|
1 every 6 months* |
|
1 every 6 months |
|
|
|
MICROLET® Lancets |
|
100 per month |
|
100 every 3 months |
|
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Important note: A physician’s order is required for Medicare reimbursement. If your doctor recommends that you test more often than the guidelines allow for, he or she can authorize you to get more products that are reimbursed by Medicare. The prescription will need to authorize the number of times a day you should be testing, and the reasons why he or she recommends more testing.
*Patients will only be reimbursed for one lancing device every 6 months.
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How do I get Bayer diabetes testing products?
Your doctor should give you a prescription. Remember to ask your doctor to specify "Do Not Substitute" on the prescription to ensure that you receive genuine quality products. Then, you can take your prescription to your pharmacy or your diabetes products supplier to be filled. You may want to call your pharmacy or your diabetes products supplier to ensure that they will assist you with filing your claim and that they sell Bayer diabetes care products.
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How do I find Bayer diabetes supplies?
You can usually find any Bayer diabetes self-testing products you need at your local pharmacy, hospital or clinic pharmacy or at a medical equipment supplier. However, if you need help finding Bayer self-testing products, simply call the toll-free Customer Service Help Line at 1-800-348-8100 and the operator will help you find a supplier near you.
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Bayer Easy C.A.R.E Join the Bayer Easy C.A.R.E. program and enjoy exclusive benefits for meter users. Visit the Bayer Easy C.A.R.E website to learn more.
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