[Diabetes-Talk] Medicare Policies That Impact You.

[Eileen Scrivani]

I got the below blurb from the supply company I use for my pump. I’m posting for the pump users on the list who may not know this.

Eileen ...

Take Action Now!
Insulin Coverage Changing to Part B
Even though Medicare has temporarily suspended their decision concerning insulin coverage changes. DMS suggests that you take proper action immediately.
When Medicare decides to move forward, they will no longer pay for your insulin pump or insulin pump supplies unless your pharmacy is billing your Medicare
Part B benefit for your insulin. 
What you need to know to be prepared: 
If there is no Part B insulin claim on file for you, Medicare will not pay the claim. Patients on an insulin pump must obtain their insulin through Medicare
Part B benefits. Patients cannot use VA, military or other assistance programs. 

To avoid reimbursement issues for your insulin pump and insulin pump supplies, instruct your pharmacy to begin billing insulin through the Part B benefit.

To ensure the claim is filed correctly by the pharmacy:
list of 3 items
• Inform your pharmacy your insulin is for an insulin pump 
• Let them know that they must use the Part B benefit (this is your red, white and blue card, not the pharmacy card with an RX/BIN numbers) 
• Inform them that if it is not billed correctly, then Medicare will not cover your insulin pump and supplies 
list end

Your pharmacy will need the make, manufacturer, and serial # of your pump for their paperwork so they may complete a DIF.
If you can not find a pharmacy to bill Part B benefits or if you have any questions, please call 1-800-MEDICARE (1-800-633-4227).
You may also want to get your doctor involved. 
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