Diabetes Self-Management Training
Does Medicare Cover Outpatient Self Management Training?
Diabetes outpatient self-management training is a program to teach you how to manage your diabetes and is covered by Medicare Part B. This program should include an overall education of diabetes including how to monitor your blood glucose levels. It also includes education about diet, exercise and insulin.
Medicare will cover up to ten hours of initial training if
you have been diagnosed with diabetes. You may also qualify for an additional
two hours of annual follow up training if:
- The training lasts for at least 30 minutes
- Your doctor orders the training as part of your care plan
- The training takes place within the 1st calendar year of your initial training
- The training is provided in a group of 2 to 20 people. Some exceptions to group size may be made if your doctor confirms that you have special needs that prevent you from training within a group.
How Much Will I Pay?
You pay for 20% of the Medicare approved amount under Medicare Part B.
You must pay a $135 deductible for any Medicare Part B services and supplies before Medicare begins to pay its share. If a doctor, health care provider or supplier does not accept assignment; the amount you pay may be higher.
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