Jewels this is an awful policy. i posted parts of this this morning on the discussion "free stuff" and I will just reprint it here
"Actually once per day is the medicare standard for type 2 Diabetics. There is some reason for that standard, and most of us likely agree the reason is pretty good one. It was found that a good deal of Medicare excess diabetic supplies were ending up on Ebay and Craigs list for sale. These listings on the black market are abhorrent to me but if you look at Ebay in particular for any type of strip you get a large listing of Gray market providers, most first purchased using private insurance or Medicare dollars.
So to cut that abuse Medicare instituted these very tough and in my judgement for any diabetic who cares about their health counter productive guidelines. By the way it is 3 times per day for a type 1 or LADA patient (I believe). Both are completely out of the realm of feasibility. Many of us are trying to change to that along with support for making CGM's an eligible medicare expense. We have made absolutely zero progress so far.
With the test strip issue, if you are using medicare to purchase test strips the doctor can write a script for supply of more testing strips per day. Of course there is a down side if you use more than the specified amount you must turn a 30 day log of testing in every six months to your doctor, who can and often is being audited for medicare violations, including excess test strip usage.
Most doctors will not accept these logs, as they generate so much paper in a paperless world. Unfortunately, in those cases, the patient has to maintain the paper at home in case it is called for and you never know when that might be."
"Now not to scare folks if your secondary insurance is paying for the test strips medicare does not care how many use. This only applies to Part B purchases, which for good and valid reasons, some years ago, became free for most medicare patients. In this case free (we diabetics and our families cost ourselves using and selling on the gray market) is a very costly proposition."