caret icon Back to all discussions

Medicare And Type 2 Diabetes

The good news is that I was able to get off of all medication for T2D for 6 months. Unfortunately, my numbers are getting a little out of whack again.

My doctor prescribed me a medication (Tier 3) that costs $436 out of pocket for me. I already take a (Tier 4) medication that costs over $1,000.

So much of my retirement is going to medication. I actually found myself cutting my pills in half.

I would love to know how people are doing it. If you are on a fixed income, are you able to maintain your lifestyle and get your medications?

  1. Medicare, a federal health insurance programme in the United States for elderly and qualified people with disabilities, provides extensive coverage for treating Type 2 diabetes. Diabetes testing supplies like glucose metres, test strips, and lancets are covered by Medicare Part B. For individuals who are at risk, it also covers diabetes testing. To help people effectively manage their condition, Part B also covers diabetic self-management training (DSMT).

    Different diabetes medicines, including insulin and oral pills, are covered by Medicare Part D, the prescription drug coverage. Additionally, Medicare may pay for supplies for diabetics as well as durable medical devices like insulin pumps. There are preventive treatments available to assist preserve health, such as wellness visits and vaccines.

    Despite the fact that Medicare covers all aspects of managing diabetes, beneficiaries should be aware of potential out-of-pocket expenses, such as deductibles and copayments. Reviewing the available Medicare plans is crucial to ensuring affordable and specialised coverage for unique needs. Plans under Medicare Advantage may also provide additional benefits for treating diabetes.

    1. Hello , Thank you so much for the great information. I have been on Medicare for a year. I reviewed several plans and made some changes to benefit me and my husband. We are supposed to be on the best plan, but I don't see it yet. I guess we are taking the wrong medication. I went to pick up his insulin a couple of days ago. I had to pay $400. I guess this is part of the deductible and copay. Thanks for sharing.


      1. Annual election period is coming up. I prefer regular Medicare A & B to Advantage plans because you can have virtually 100% coverage if you have a supplement ie plan G. I doubt that you could pass underwriting so that may be out of the question. A&B with supplements can become expensive so since you're in a cash crunch, look in to the Advantage plans.


        If you're within 6 months of enrolling in Part B, you can get any supplement you want without underwriting. Look at Hi-G because the premium will be low and stay low. I expect a 5-10% premium increase and the Hi-G is so low that 5% of $50 isn't much. (clear - as mud?) You can get a G but may get squeezed out on premium increases in a few years. Your Pard D (drug card is also up for changes during AEP. Medicare.gov or a competent agent can help there.



        Find a competent and honest agent in your area and find out how your exact health conditions would be covered. Pay close attention the the network providers. Network is almost more important than the copays etc because, restrictive networks are less expensive but may not have good access.


        People not in the insurance business frequently thing "best" plan covers the most. Not true! The best plan is the one where total healthcare costs (premiums paid + out of pocket costs) with an acceptable network is lowest.



        Re: diabetes itself, look up all of the things you can do to control blood glucose. Lose weight (see Roy Taylor's book on Amazon), vinegar, low carb foods, exercise the list goes on. Implement as many as you're willing and find out how much difference they make. Get a cgm so you understand what the effect of each change makes. Self-pay for a Libra 2 is ~ $70 and is good for 2 weeks. Two weeks will give you enough information to make changes then you can get another in a month or 2 and check status again.

        1. Wow! What a comprehensive post. Have you considered submitting a story for our website? Your post would be most helpful as a stand alone article. Check out our submission link. I do hope you decide to contribute. You obviously have a wealth of knowledge on the topic. https://type2diabetes.com/stories -Lauren (team member)

      2. Hello , Thanks for this important information. I had done my homework and thought I had it all down. There is so much that we don't know. So much information out there.


        I'm happy that you pointed out to look for honest agents. They all talked a good game, but at the end of the day, they are draining your pockets dry. Not looking out for the patient at all.


        I was off of medication for 6 months, doing the things like you said. It was on my last doctor visit that my numbers were increasing.


        Thanks for sharing.

        Please read our rules before posting.