Medicare Advantage diabetes benefits

senior man sitting on couch and viewing mobile phone

Our Medicare plans offer benefits that are tailored to the needs of individuals with diabetes

Diabetes management

Do you have diabetes? Make sure you are taking steps to stay healthy:

Struggling to manage your diabetes? Get the help you need by completing our Care Management form to be connected with a nurse case manager. Just choose complex case management and care coordination.

Insulin savings

Important message about what you pay for insulin

You won’t pay more than $35 at a non-preferred pharmacy and $30 at a preferred pharmacy for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on, even if you have not paid your deductible.

Getting Help from Medicare - If you chose this plan because you were looking for insulin coverage at $35 a month or less, it is important to know that you may have other options available to you for 2023 at even lower costs because of changes to the Medicare Part D program. 

Contact Medicare, at 1-800- MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week for help comparing your options. TTY users should call 1-877-486-2048. 

Additional resources to help – Contact our Customer Care center at 877-232-7566 (TTY:711) for additional information. 7:30 am-5 pm Monday-Thursday and 8 am-4:30 pm (year-round). 

Does insulin play a role in managing your diabetes? We can help. Our plans offer reduced copays on insulin until you reach the catastrophic stage of Medicare Part D coverage. We offer:

  • $30 insulin fills at preferred pharmacy locations.
  • $35 insulin fills at standard retail pharmacies.

Find preferred pharmacy and standard retail pharmacy locations.

Our insulin savings program applies to all insulins on the formulary*, including:

  • Novolin N 100 unit/ml
  • Novolin R 100 unit/ml
  • Toujeo 300 unit/ml
  • Toujeo 100 unit/ml
  • Tresiba 100 unit/ml
  • Tresiba 200 unit/ml
  • Novolin (70/20) mix 100unit/ml
  • Insulin Aspart Human 100 unit/ml
  • Fiasp 100 unit/ml
  • Humulin R 500 unit/ml
  • Levemir 100 unit/ml
  • Novolog 100 unit/ml
  • Lantus 100 unit/ml
  • Xultrophy 100 unit-3.5ml
  • Soliqua 100 unit-0.033mg/ml
  • Insulin Aspart Protamin (70/30) mix 100unit/ml 


* Includes Pen Injector, Injectable Solution, Injectable Suspension and Cartridge.


Diabetic supplies

$0 Diabetic supplies

Supplies to monitor your blood glucose are covered at $0. Covered supplies include blood glucose monitors, blood glucose test strips, lancet devices and lancets, and glucose-control solutions for checking the accuracy of test strips and monitors. Diabetic testing supplies must be Accu-Chek brand in order to be covered.

Continuous glucose monitors

We cover all Continuous Glucose Monitors (CGMs) at $0. You can receive Freestyle libre or Dexcom CGMs through your  in-network Retail pharmacy. Other CGMs must be obtained through a medical supply company, Edpepark or others.

Ask your doctor if you meet Medicare guidelines for the $0 continuous glucose monitor benefit. To receive a CGM, your doctor needs to follow Medicare guidelines, and submit a request for approval for it to be administered.

Insulin pumps

Insulin pumps covered by our plan are Minimed, T Slim and Omnipod. Minimed and T Slim are covered under the durable medical equipment (DME) benefit. You will pay 20% coinsurance in-network for insulin pumps. Omnipod supplies can be purchased at a retail pharmacy at your 20% Part B copay.

To receive an insulin pump, your doctor needs to follow Medicare guidelines, and submit a request for T Slim or Minimed for your insulin pump to be administered.

Insulin supplies

Insulin supplies are covered under the Part D benefit. Covered insulin supplies include syringes, needles, alcohol swabs and gauze. Insulin supplies can be purchased a $0 at your in-network or mail order pharmacy.

Therapeutic shoes and inserts

For people with diabetes who have severe diabetic foot disease, we cover one pair of therapeutic custom-molded shoes or depth shoes per calendar year. This coverage includes fitting. You will pay 20% coinsurance in-network for therapeutic shoes and inserts. Therapeutic shoes and inserts are only available through NPS Foot Health.

Ask your doctor if you meet Medicare guidelines for the $0 continuous glucose monitor benefit.

Benefits supporting diabetes management

$0 Part C benefits

  • PCP visits
  • Outpatient mental health
  • Labs
  • Diabetic supplies
  • Kidney disease education


Additional benefits

View our Medicare disclaimer.
H9096_prevea360.com
Updated: 10/1/2022