Is my test, item, or service covered?
How often is it covered?
Medicare Part B (Medical Insurance) covers screenings to check for diabetes. You may be eligible for 2 diabetes screenings each year.
Part B covers these screenings if your doctor determines you’re at risk for diabetes or you’re diagnosed with pre-diabetes. These lab tests are covered if you have any of these risk factors:
- High blood pressure (hypertension)
- History of abnormal cholesterol and triglyceride levels (dyslipidemia)
- History of high blood sugar (glucose)
Part B also covers these tests if 2 or more of these apply to you:
- Age 65 or older
- Family history of diabetes (parents, brothers, sisters)
- History of gestational diabetes (diabetes during pregnancy) or delivery of a baby weighing more than 9 pounds
Your costs in Original Medicare
You pay nothing for these tests if your doctor or other qualified health care provider accepts assignment.
Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.