Does Medicare Cover Insulin Pumps?
Medicare will cover the cost of an insulin pump if you have an honest medical need for it. To ensure that Medicare pays for your pump you must follow the steps below: • Only your doctor can prescribe an insulin pump for you, so do not order anything until you have visited your doctor. • Your treating doctor must document the need in your medical records and give you a prescription for the pump. • The supplier must receive the order before Medicare is billed and must keep it on file. • If you receive your Medicare through a Medicare Advantage Plan (like a HMO, PPO) it is likely you will have to follow the plan’s steps for approval and purchase. Make a point of calling your plan’s customer service number and ask about their steps for coverage of an insulin pump or insulin pump supplies.
