[Diabetes-talk] Desperately Seeking insulin Supplier UnderMedicarePart B

Tue Feb 25 16:26:33 UTC 2014

All pharmacies accept part D and depending on which pharmacy is in the formulary of the insurance company you have, they all cover insulin.

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> From: walemly at gmail.com
> To: diabetes-talk at nfbnet.org
> Date: Tue, 25 Feb 2014 10:02:25 -0600
> Subject: Re: [Diabetes-talk] Desperately Seeking insulin Supplier	UnderMedicarePart B
> 
> That's great, Eileen. Good luck with getting your insulin under Medicare
> Part B. I'm sending my doctor yet another insulin prescription request and
> am trying my local Walgreens this time. I'll post back with the results.
> 
> Alan
> 
> -----Original Message-----
> From: Diabetes-talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of
> eileen scrivani
> Sent: Tuesday, February 25, 2014 7:16 AM
> To: Diabetes Talk for the Blind
> Subject: Re: [Diabetes-talk] Desperately Seeking insulin Supplier
> UnderMedicarePart B
> 
> Thanks, Alan, you've told me something I was not aware of and the company 
> I'm getting my pump supplies from indicated my insulin would have to go 
> through what I use for my other perscriptions.  This will, thankfully, lift 
> me out of the doughnut hole as well.
> 
> I too will now have to locate a company to get the vials of insulin from 
> that takes Medicare coverage part B.
> 
> Eileen
> 
> 
> -----Original Message----- 
> From: Alan Lemly
> Sent: Tuesday, February 25, 2014 12:58 AM
> To: 'Diabetes Talk for the Blind'
> Subject: Re: [Diabetes-talk] Desperately Seeking insulin Supplier 
> UnderMedicarePart B
> 
> Eileen, thanks for your reply. Actually, Medicare Part B will cover insulin
> for a diabetic on an insulin pump provided their doctor writes the
> prescription and provides Medicare with anything else required. I haven't
> figured out what all they require but will certainly pursue the part B
> coverage as this enables me to avoid the coverage gap or donut hole of Part
> D.
> 
> I got the publication named Medicare's Coverage of Diabetes Supplies &
> Services from the Medicare.gov website and page 13 of that document states:
> 
> "Blood sugar self-testing equipment & supplies (continued)
> 
> Insulin pumps
> Insulin pumps worn outside the body (external), including the insulin used
> with the pump, may be covered for some people with Medicare Part B who have
> diabetes and who meet certain conditions. Insulin pumps are considered to be
> durable medical equipment. "Durable medical equipment" is certain medical
> equipment ordered by your doctor for use in the home."
> 
> The only conditions I've been able to determine that must be met to get Part
> B coverage is a prescription from your doctor for the insulin. I'm not sure
> if Medicare will ask for anything else but getting my doctor to state how
> beneficial the pump is for maintaining my diabetes management and completing
> any required form should not be a problem.
> 
> Alan Lemly
> 
> -----Original Message-----
> From: Diabetes-talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of
> eileen scrivani
> Sent: Monday, February 24, 2014 6:10 PM
> To: Diabetes Talk for the Blind
> Subject: Re: [Diabetes-talk] Desperately Seeking insulin Supplier Under
> MedicarePart B
> 
> Alan:
> 
> It is very confusing ... For insulin, don't you mean Medicare Perscription
> under part D?  Part B is for the durable goods like all the test supplies,
> and other supplies for your pump, but the actual insulin is only covered
> under some type of perscription drug plan coverage.
> 
> It is a horrible set up since I now will have to use 3 different companies:
> 1 Optum RX for mail order perscription drugs (including insulin), #2. A1
> Diabetes who is one of the Medicare approved suppliers of testing supplies
> and #3. Diabetes Management & Supply for the pump supplies (not the insulin)
> 
> since they have the government contract for pump supplies.
> 
> Hope this helps a little.
> 
> Eileen
> 
> 
> -----Original Message----- 
> From: Alan Lemly
> Sent: Monday, February 24, 2014 4:40 PM
> To: 'Diabetes Talk for the Blind' ; blind_singles at yahoogroups.com
> Subject: [Diabetes-talk] Desperately Seeking insulin Supplier Under
> MedicarePart B
> 
> I really can't explain the number of hours and the hoops I've jumped through
> trying to get my prescriptions set up under Medicare. I was hoping to find a
> mail order supplier for my insulin but since as an insulin pumper, I'm
> covered under Medicare Part B, no mail order supplier will supply insulin
> under Part B due to the low Medicare Part B reimbursement rate.
> 
> 
> 
> So my question is, where do those of you on Medicare who use an insulin pump
> get your insulin? If you could tell me any hoops you had to jump through to
> get this set up under Medicare Part B so I can do it on the front end, I'd
> be most appreciative. I found a knowledgeable person at my local Walgreens
> but she mentioned something about the doctor needing to submit a certificate
> of medical necessity CMN form to Medicare and I'm having a hard time
> locating one of those forms on the Medicare.gov website. I found many CMN
> forms dealing with things like lift chairs and other durable medical
> equipment but I already have an insulin pump and just need to get the
> insulin to feed it.
> 
> 
> 
> Thanks in advance for any assistance you can provide.
> 
> 
> 
> Alan Lemly
> 
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