Diabetes: A National Plan for Action. Current Coverage of Preventive Services for Individuals with Diabetes

12/01/2004

Currently, Medicare Part B covers several preventive services that are important to individuals with diabetes.

  • Flu and Pneumococcal Pneumonia Vaccinations
    Medicare Part B covers flu and pneumococcal pneumonia vaccinations. All Medicare beneficiaries are covered. Under Medicare FFS, there are no out-of-pocket costs for beneficiaries if the health care provider accepts assignment.
  • Glaucoma Screening
    For beneficiaries who are at high risk for glaucoma, including people with diabetes or a family history of glaucoma Medicare covers glaucoma screening once every 12 months. The screening must be performed or supervised by an eye doctor who is legally allowed to do this service in the State. Under Medicare FFS, a beneficiary pays 20% of the Medicare-approved amount after the yearly Part B deductible.
  • Other Preventive Services
    Medicare also provides coverage for the following preventive benefits under Part B: bone mass measurement, colorectal cancer screening, mammography screening, screening pap smear and pelvic exams and prostate cancer screening.

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