I've been diagnosed with prediabetes. What preventive services does Medicare cover to help prevent progression to type 2 diabetes?

Answered by 8 licensed agents

Its always a tough when you hear about any diagnosis from a Health Care professional regarding Diabetes. If you watch the news at all, you know that any Diabetes related health condition is serious and effects a large part of our population. Medicare provides several "Preventive Services'" that come at low or no Out of Pockets costs. Medicare Diabetes Prevention Program (MDPP) is a comprehensive One Time health behavior change program is available to help you prevent Type II diabetes. Common services like Diabetes Screening and monitoring, Medical Nutrition, foot exams and Hemoglobin A1C, Glaucoma Screenings as well as "Welcome to Medicare" preventive visits are design to address your diagnosis and prevent it from getting worse! Your Medicare agent can educate you on what is available to you! If you are new to Medicare you will love it!

Answered by Danny Radisewitz on April 7, 2025

Broker Licensed in SD, IA, MN & ND

Answered by Danny Radisewitz Medicare Insurance Agent
Medicare covers the Pre-diabetes program once in your lifetime. But, you must meet all 12 conditions to be covered. Part B will pay for the full costs associated with this treatment, should you qualify. This is a behavioral program only.

Answered by Norman Smith on April 14, 2025

Agent Licensed in FL & PA

Answered by Norman Smith Medicare Insurance Agent
Medicare provides several preventative and screening procedures to quickly identify the onset of diseases before they become major problems.

Answered by Kerwyn Jones on April 8, 2025

Broker Licensed in FL, AL, AR & 21 other states

Answered by Kerwyn Jones Medicare Insurance Agent
All types of diabetic screenings/educational trainings are typically falling under the title of “preventive care”. All preventive care is typically free of charge, but there are quantity and some limitations. That’s something you would want to talk to an agent or broker about to get more detailed information on that’s because it’s also impacted by what plan you have and what carrier you have and where you live, along with what type of screening are they wanting to do. All of these things have to be taken into consideration. Mostly speaking, all preventive care is typically zero charge to the client.

Keep in mind if you have a Medicare advantage, you will have to have a prior authorization approved before you can go get that done and with original Medicare and Medicare supplements you have no prior authorizations.

Answered by Natalee Nimmo on April 8, 2025

Broker Licensed in SC, FL, GA & KY, MO, NC & TX

Answered by Natalee Nimmo Medicare Insurance Agent
Medicare covers insulin and a variety of antidiabetic drugs. Original Medicare (parts A and B) and Medicare Advantage (part C) cover insulin administered via a pump and certain diabetes supplies.

Medicare prescription drug coverage provides comprehensive coverage for diabetes medications. Reach out to me or an agent in your area for more information. Also, Medicare.gov is a great resource.

Answered by Betty McCarty on April 8, 2025

Agent Licensed in WA

Answered by Betty McCarty Medicare Insurance Agent
Abdominal aortic aneurysm screenings

Alcohol misuse screenings & counseling

Blood-based biomarker tests

Bone mass measurements

Cardiovascular disease screenings

Cardiovascular disease (behavioral therapy)

Cervical & vaginal cancer screenings

Colorectal cancer screenings

Multi-target stool DNA tests

Screening barium enemas

Screening colonoscopies

Screening fecal occult blood tests

Screening flexible sigmoidoscopies

Counseling to prevent tobacco use & tobacco-caused disease

Depression screenings

Diabetes screenings

Diabetes self-management training

Glaucoma screenings

Hepatitis B shots

Hepatitis B Virus (HBV) infection screenings

Hepatitis C screening tests

HIV screenings

Lung cancer screenings

Mammograms (screening)

Medical nutrition therapy services

Medicare Diabetes Prevention Program

Obesity behavioral therapy

One-time “Welcome to Medicare” preventive visit

Pre-exposure prophylaxis (PrEP) for HIV prevention

Prostate cancer screenings

Sexually transmitted infections screenings & counseling

Shots:

COVID-19 vaccines

Flu shots

Hepatitis B shots

Pneumococcal shots

Yearly "Wellness" visit

Answered by Fran Lovelace on April 12, 2025

Agent Licensed in NC, SC & VA

Answered by Fran Lovelace Medicare Insurance Agent
Medicare does offer some support for prediabetes. There is also help available within certain Medicare Supplement as well as Medicare Advantage plans.

Feel free to reach out to me and I can cover in more detail given your specific situation.

Don Baker

Answered by Donald Baker on April 14, 2025

Agent Licensed in MN

Answered by Donald Baker Medicare Insurance Agent
Under Original Medicare (Part A and B), a person has access to Diabetes Screening and Diabetic Counseling that may include diabetes prevention and education. Some Medicare Supplements (Medi-Gap) and Medicare Advantage Plans offer "0" cost gym memberships included, which may help prevent full diabetes.

Answered by Mike Laubert on April 14, 2025

Broker Licensed in MO, FL, GA, IL, TN & TX

Answered by Mike Laubert Medicare Insurance Agent

Tags: Advice for Seniors Coverage Medicare Part B

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