[Diabetes-Talk] Medicare Policies That Impact You.

[bkpollpeter at gmail.com]

It’s getting to a point where I don’t even know if I want to bother with a pump anymore. Between healthcare providers and in accessibility, it’s becoming such a hassle. I mean, I love using a pump, and it has helped improve my diabetes so much, but I have to figure out if it’s worth the continued hustle.

Sent from my iPhone

> On Jul 13, 2018, at 3:45 PM, Veronica Elsea via Diabetes-Talk <diabetes-talk at nfbnet.org> wrote:
> 
> Wow! Thanks for posting this, Eileen. I am just now having conversations with my endo about how to handle things once I start Medicare in a few months. Right now I just get my pump supplies directly from the pump company and have no idea how things will work once I change to Medicare. Time to just hold my breath, I guess. But many thousands of thanks for this warning.
> Veronica
> 
> 
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> 
> -----Original Message-----
> From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Eileen Scrivani via Diabetes-Talk
> Sent: Friday, July 13, 2018 11:28 AM
> To: NFB Diabetes Talk
> Cc: Eileen Scrivani
> Subject: [Diabetes-Talk] Medicare Policies That Impact You.
> 
> 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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