I saw the following information on Integrated Diabetes Services Facebook page. I can't say I am happy to read this.
"INDUSTRY UPDATE: It looks as though some serious changes are on the horizon in the blood glucose meter industry. Medicare has announced that it is drastically cutting reimbursement for test strips starting this July. This means that many Medicare beneficiaries will either have to switch to generic meters/strips or have to cover some steep copays.
Because private health plans often follow Medicare's lead, this could have a ripple effect throughout the diabetes market. It might not be a bad idea to start stocking up on your favorite brand of strips, because they may be harder to come by in the not-too-distant future. Just some helpful advice!
I don't think Medicare follows the ADA suggestions. If you look in the Medicare book that we receive each year, the section pertaining to Diabetes. I can't remember the exact times that Type 1s are suppose to test but it's something like 4 times and if a pumper I think it's 6 times. There is no consideration for people who have other health issues that impact our disease.
When I started with Medicare I was seeing my Endo every 6 months but Medicare requires me to see him every 3 months. I considered it an insult after living a lifetime with this disease I would think some considerations would be made but they don't look at each case individually...makes me think that I'm still a child and don't know how to manage my disease. If I couldn't manage it I wouldn't have made it to 54 years.
Thank you for the information you posted. I never knew there was a standard of care from Medicare with regard to Type 1 diabetes.
If you check your Medicare book under Diabetes you'll see what policies we are suppose to follow in order to get coverage.
I'm always confused when I see these Medicare discussions. I'll be 65 this November. I have CalPers now (California state retirement insurance) which will integrate with MediCare. There is a website that explains exactly how the two go together. But as far as I understand, my coverage will become better not worse. Though CalPers and MediCare are unique, I thought most people also have a "Medicare supplement." But whenever people talk about Medicare they talk as if that is their only insurance. Does that mean they don't have a supplement? Or are the supplements significantly inferior to my CalPers (which is a regular Blue Cross Insurance with 80% coverage and meds from $10 to $100 (most lower) for e month med supplies.
Does anyone have a similar state insurance plan integrated with Medicare? Are you subject to these Medicare rules and limits too?
Zoe I don't have a state medical plan but do have Medicare and a supplement. I guess I'm like most people and refer to it simply as Medicare. Medicare is what we put into the system for 30 years or more and the supplement (which mine is also Blue Cross) which is paid for seperately. Medicare comes out of your social security and as I said the supplement (which is 20%) is seperate. Two years before I went on Medicare I researched exactly what it was all about. Although there are still some things at times that aren't clear I have a more clearer understanding then I did years ago.
Thanks for the explanation, Betty. So the supplement doesn't counteract the Medicare regulations about D?
No, it's what it implies a supplement to make up what Medicare doesn't pay.
Oh, ok, I guess mine is kind of the opposite. My Blue Cross is my main insurance, and Medicare will fill in some gaps. (For example I now have 80% coverage for hospitalization and will then have 100%). I do need to read the site that explains the integration of the two in detail, but would still like to hear anyone else whose situation is like mine. (Having permanent insurance from a government agency that gets integrated with Medicare at age 65.)
Aa i said earlier Medicare is confusing and I'll admit I don't have full understanding, it's a learn as you go thing. I know enough to know how to respond to questions asked by my medical team.
I agree Lathump. That is the biggest problem we have there is the uniformity of any type of agreement. The ADA has lagged behind for so many years that no one thinks of them as the standard of that what they say is truth. What Medicare and all insurances need is to ask the patients what the standard should be, we live with this disease but we know that won't happen.