Area Bloggers

Effective July 1st Medicare Changes
June 28th 2013 by Dee Loflin
Effective July 1st Medicare Changes

Submitted by

Ruth Dockins

I just received the following information about diabetic testing supplies from my contact at the Center for Medicare/Medicaid Services (CMS).  I know there are lots of people in our area that are diabetic and using testing supplies, and this is very important information.

Starting July 1, 2013, Medicare is scheduled to implement a national mail-order program for diabetic testing supplies, which is designed so you can save money while continuing to receive quality supplies.  When it starts, rather than having an approved amount of $78 for 100 test strips and lancets, Medicare’s approved amount will be around $22 – and your copay will go from $15 to under $5. In order to save money under the national mail-order program, you’ll need to use a Medicare national mail-order contract supplier. The national mail-order program will include all 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam and American Samoa.

For a list of mail-order Medicare contract suppliers, visit medicare.gov/supplier. Enter your zip code, select “Mail-Order Diabetic Supplies” and hit the search button. You can also obtain a list of contract suppliers by calling 1-800-MEDICARE (1-800-633-4227).  If your current supplier is not included in the list, you will have to select a new contract supplier for Medicare to help pay for diabetic testing supplies that you have delivered to your home.

If you don’t want diabetic testing supplies delivered to your home, you can go to any local store enrolled with Medicare and buy them there. When the program starts, you can receive the same savings by purchasing diabetic testing supplies in the store as you would by having them delivered to your home – as long as the store accepts assignment, which means they accept the Medicare-approved amount as payment in full.  If the store does not accept assignment, they can charge you more. So, it’s important to check with the store about Medicare assignment if you want to take advantage of the new lower prices.

This program applies to people with Original Medicare.  If you’re in a Medicare Advantage Plan (like an HMO or PPO), your plan will notify you if your supplier is changing. Contact your plan for more information.

If you have questions, Medicare has resources to help you understand the new program, including medicare.gov and 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048 or call me at 1-800-392-8771 or locally at 335-3331.

 

 


Last Updated on June 28th 2013 by Dee Loflin




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