Do I still pay Medicare Part B deductible if using an insulin pump?

I take insulin through a traditional pump. Will I still have to pay the Medicare Part B deductible when I get insulin for my pump? Will a Medigap supplemental plan cover other costs I might have?

PER CMS starting on July 1, 2023: The Medicare Part B deductible no longer applies for insulin used through a traditional pump that is covered under the durable medical equipment benefit. Your Medicare Part B coinsurance for a month's supply of insulin can't be more than $35.

If you have Medigap or Supplement coverage that pays your Medicare Part B coinsurance, that plan may cover the $35 (or less) cost of insulin.

If you use an insulin patch pump, you'll continue to get your insulin through your Part D plan, and the insulin that goes into your pump won't cost more than $35 a month. Your disposable pump may also be covered under Medicare Part D as an insulin supply.

Because the disposable pump is considered a supply (and not a drug), the cost of the pump may also be capped by the cost of the insulin and/or covered by other Medicare provisions. Please refer to your insurance Carrier or Medicare.gov (CMS) Medicare plan for clarification

It's important to note that Medicare Part B coverage for insulin pumps and supplies is subject to certain rules and restrictions, and beneficiaries may need to meet certain criteria to be eligible for coverage.

It's recommended that beneficiaries work closely with their healthcare providers and Medicare representatives to ensure that they understand their coverage options and requirements.

MedHelpCenter.us recommends that you call the Senior Health Insurance Agency at 813-592-8568 for further explanation.