Your Medicare Coverage

Is my test, item, or service covered?

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How often is it covered?

Medicare Part B (Medical Insurance) covers screenings to check for diabetes. Based on the results of these tests, you may be eligible for 2 diabetes screenings each year.

Who's eligible?

Medicare covers these tests if you have any of these risk factors: 

• High blood pressure (hypertension)
• History of abnormal cholesterol and triglyceride levels (dyslipidemia)
• Obesity
• History of high blood sugar (glucose)

Medicare also covers these tests if 2 or more of these apply to you:

• Age 65 or older
• Overweight
• 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 accepts assignment, but you generally have to pay 20% of the Medicare-approved amount for the doctor's visit. The Part B deductible doesn't apply.

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