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Diabetes can be a frightening and expensive diagnosis. With testing materials, insulin, needles and additional doctor visits with specialists, it can seem daunting. That’s why we’re going to look at what Original Medicare coverage for diabetes looks like and what you can expect from different parts of Medicare.
Medicare Part A Diabetes Coverage
Part A coverage is for hospital stays, which can occur for diabetics if their blood sugar is unregulated. If you are diagnosed with diabetes after 65, you will probably need to be hospitalized for a day or two when first diagnosed to get your levels back to normal, receive diabetes education and counseling, and determine a course of action based on your health care needs.
Medicare Part B Diabetes Coverage
Medicare Part B offers coverage for doctor visits and medical screenings, which includes diabetes management. It will also cover diabetic supplies to help you manage your blood sugar, such as blood sugar testing strips.
Doctor visits
Part B covers a one-time “Welcome to Medicare” doctor visit to review your health when you first join Medicare. If you already have diabetes when you join Medicare, this visit will include an overview of what materials you use to manage your blood sugar and what type of insulin you use. If you are diagnosed after 65, you will likely need to schedule a doctor’s appointment with your primary care physician to establish a care plan after your diagnosis.
Once you’ve had Part B for longer than 12 months, you have coverage for a yearly wellness visit. This visit is to review your medical and family history, update your list of providers and prescription drugs, and review a treatment and screening plan for the upcoming year.
If you have diabetes-related nerve damage (which is called diabetic neuropathy) in either foot, Part B will cover one foot exam every six months with a podiatrist. Diabetes nerve damage on your feet is a safety risk for diabetics, as they may not be able to feel dangers from heat or sharp objects. As part of this coverage, Medicare may cover therapeutic shoes and insoles in certain conditions.
Regardless of your diabetic diagnosis, Part B will pay for flu shots, pneumococcal shot to prevent pneumonia and COVID-19 vaccinations, including boosters. Diabetes increases your chances for serious health complications from these and other illnesses.
Blood tests & screenings
If you’re at risk for diabetes or diagnosed with pre-diabetes, Part B may pay for up to two screenings, such as fasting blood sugar, in a 12-month period to monitor blood sugar levels. This is used to determine if your blood sugar levels are normal or if you are becoming increasingly insulin resistant.
Other screenings include hemoglobin A1C tests and glaucoma tests. Hemoglobin A1C tests measure how well your blood sugar has been controlled over the last three months. Part B will cover an eye check for glaucoma once every 12 months, as diabetes increases the risk of glaucoma.
Diabetic services
Part B covers the Diabetes Prevention Program. Sessions of the program include training on diet and exercise improvements, weight management strategies, and health coaching. To be eligible for the program, you must meet certain criteria, such as body mass index and blood test results.
Medicare will cover an outpatient program to teach you how to manage your diabetes upon diagnosis. They will instruct on diet, exercise, monitoring your blood sugar, medication administration and reducing the risk of complications. Part B will also cover nutrition therapy services with a registered dietitian or nutritionist if your blood sugar levels meet eligibility.
Supplies & equipment
Blood sugar self-testing equipment and supplies are covered by Part B. This includes blood sugar monitors, blood sugar test strips, lancet devices and lancets, and glucose control solutions for checking the accuracy of testing equipment and test strips. Part B covers these supplies for people with diabetes whether or not they use insulin, although coverage amounts may vary. Medicare Part B may also cover external insulin pump devices, including the insulin used with the pump, if eligible.
Medicare Part D Diabetes Coverage
Medicare Part D is coverage for prescription drugs. Diabetics rely on medications and Part D covers many of those.
It is important to note that, starting in 2023, many insulin types will have a monthly $35 copay cap. Check your drug plan’s formulary for more information on what your specific costs may be.
Conclusion
Original Medicare offers a variety of services for those with diabetes. Additionally, drug coverage is essential for those who rely on insulin. The most important thing those with diabetes can do is manage their condition to prevent complications. If you have questions about diabetic Medicare coverage, including additional coverage options, please reach out to one of our licensed insurance agents and we will be happy to assist you.
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Many married couples share almost everything, including finances. This may be reflected in their estate plan by using one joint living trust instead of two separate trusts. Separate trusts can provide greater flexibility, but a joint trust can be structured so that when one spouse passes away, the trust is split into two sub-trusts: a survivors trust and a decedents trust. This arrangement provides the surviving spouse with the same versatility that separate trusts offer. The surviving spouse has full control over their survivors trust, but may have limited control over the deceased spouses accounts and property that make up the decedents trust. Decedents Trust and a Survivors Trust A survivors trust is a middle ground between a joint trust and separate trusts. If a couple chooses to combine their assets (accounts and property) into a joint revocable living trust, both spouses will usually be named as trustees and beneficiaries. The joint trust can further stipulate that when one spouse passes away, the trust divides into subtrusts. One of those subtrusts can be a survivors trust. A second subtrust, the decedents trust, will also be created to hold and manage assets owned by the decedent. How a Survivors Trust Works A typical joint trust arrangement lists four types of property, depending on the state in which you live: Joint assets Community property First spouses separate property Second spouses separate property When the first spouse dies, the survivors trust receives one-half of the community property, one-half of the joint property, and all property identified as the separate property of the surviving spouse. The deceased spouses half of the community property and joint property, along with their separate property, may be funded into the decedents trust with its own set of instructions. The trust agreement could also state that all of the deceased spouses property will go into the survivors trust instead of going into a separate subtrust. Reasons to Have a Survivors Trust Regardless of exactly how the joint trust assets are allocated, a crucial distinction is that a survivors trust is revocable, while the decedents sub-trust is irrevocable. This means that the surviving spouse retains full control over the survivors trust. They can alter the terms of the trust however they want. For example, they can add and remove assets, change beneficiaries, appoint new trustees, or terminate the trust. The surviving spouse can also completely change the terms of the survivors trust in its entirety. While the surviving spouse may be the beneficiary of the decedents trust, the surviving spouse will likely have less control over the management of assets in the decedents trust. This allows the deceased spouse to put protective measures in place while they are alive to make sure that their assets are managed the way they want and that someone cannot change the rules after they pass away. This can be helpful for clients who are worried about their spouse remarrying after their death and to ensure that assets that remain at the surviving spouses death go to a predetermined person. The purpose of any trust is to take care of loved ones and protect assets from costly probate and taxes. To discuss an estate plan that meets your goals, please schedule your appointment with our Estate Planning attorneys - 724-375-4005.
Understanding the financial aspects of home care is crucial for many families. Its about knowing your options, who to talk to, and where to begin. At Amazing Care, were here to help you navigate through the maze of home care payment options, ensuring you make informed decisions regarding paying for home care services.Home care, an essential service for many, can sometimes be a financial burden. However, with the right information and resources, you can find ways to manage these costs effectively. Amazing Care offers several payment options to alleviate this burden.Medicaid: A viable option for those who meet certain income and health requirements. Amazing Care accepts Medicaid for qualifying services, providing a lifeline for many in need of home care without the financial means to afford it out-of-pocket. For more detailed information on how you can utilize Medicaid for services at Amazing Care, visit our Medicaid payment options page.Medicare: Typically, Medicare covers medically necessary home health care services. If you or your loved one is a Medicare beneficiary, you might be eligible for coverage of Amazing Cares services. This includes nursing care, physical therapy, and more under certain conditions outlined by Medicare guidelines. To understand how Medicare can help cover your home care needs with Amazing Care, check out Amazing Cares Medicare guide.Private Insurance: Home care covered by insurance is available, and many private health insurance policies include home care services. Coverage details can vary widely, so its essential to contact your insurance provider to understand the specifics of your policy. Amazing Care works with numerous private insurance plans, assisting you in maximizing your benefits. For insights on navigating private insurance with Amazing Care, visit our private insurance payment options page.Starting this journey can be overwhelming, but youre not alone. The first step is to contact Amazing Care to discuss your needs and payment options. Our team is dedicated to guiding you through the process, ensuring you access the care you need without undue financial stress. By exploring Medicaid, Medicare, and private insurance options, youll find a path to covering the costs of home care. Questions, please contact us at 303-755-3170.
Becoming eligible for Medicare is a significant milestone in your life. Whether you are newly turning 65 or approaching eligibility due to disability, understanding your Medicare options can feel overwhelming. With multiple parts, plans, and enrollment periods, making the right choice is essential to protect your health and finances.Thats where Inman Medical Insurance Services steps in helping Medicare-eligible individuals and their families navigate the complex landscape of Medicare insurance with clarity, confidence, and care.Understanding Medicare: A Quick OverviewMedicare is the federal health insurance program for people 65 and older, younger individuals with certain disabilities, and those with End-Stage Renal Disease (ESRD). It consists of several parts: Medicare Part A (Hospital Insurance) covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Medicare Part B (Medical Insurance) covers outpatient services like doctor visits, preventive care, and some home health services. Medicare Part C (Medicare Advantage) plans are offered by private companies approved by Medicare and include Part A and B benefits, often with added perks. Medicare Part D (Prescription Drug Coverage) helps cover the cost of medications through private plans. Choosing the right combination of these parts depends on your health needs, budget, and preferences.Why Professional Guidance Matters When Choosing Medicare PlansMedicare is not a one-size-fits-all program. With dozens of Medicare Advantage and Part D plans available in many areas, it can be challenging to understand differences in coverage, premiums, deductibles, copays, and provider networks. Making an uninformed decision could mean paying more than necessary or missing coverage for services you need.Inman Medical Insurance Services offers personalized Medicare consulting to ensure you: Understand your Medicare benefits and options Identify plans that best fit your health needs and financial situation Avoid costly penalties by enrolling during the correct periods Navigate changes to your Medicare coverage over time This professional guidance saves time, reduces confusion, and empowers you to make decisions with peace of mind.Services Offered by Inman Medical Insurance ServicesAt Inman Medical Insurance Services, youll find a trusted partner with a deep knowledge of Medicare plans and regulations. Their services include:1. Medicare Eligibility CounselingIf youre turning 65 or recently became eligible due to disability, the team helps you understand when and how to enroll in Medicare, including your initial enrollment period and special circumstances.2. Medicare Plan Comparison and EnrollmentThey analyze available Medicare Advantage, Medigap (Medicare Supplement Insurance), and Part D prescription drug plans in your area. By comparing costs, coverage, and provider networks, they help you select a plan that fits your unique needs.3. Annual Medicare Review and Plan OptimizationMedicare plans can change year to year. Inman Medical Insurance Services offers yearly reviews during the open enrollment period (October 15 December 7) to ensure your plan remains the best option, or help you switch plans if needed.4. Assistance with Medicare Appeals and ClaimsIf you encounter coverage denials or billing issues, their experts assist with navigating appeals and resolving Medicare claims, reducing stress and ensuring your rights are protected.5. Education on Medicare Savings Programs and Financial AssistanceMany Medicare-eligible individuals qualify for programs that reduce costs, such as Medicaid, Extra Help, or state pharmaceutical assistance programs. The team helps you identify and apply for these valuable benefits.Who Can Benefit Most from Inman Medical Insurance Services? Newly Medicare-eligible individuals who want to start their coverage on the right foot. Current Medicare beneficiaries seeking to optimize their plan or save money. Caregivers or family members assisting loved ones with Medicare decisions. Anyone feeling overwhelmed by Medicare's complexity and needing personalized support. Why Choose Inman Medical Insurance Services? Experienced Medicare Specialists: Knowledgeable in local and national Medicare regulations. Personalized Service: Tailored recommendations based on your health, budget, and goals. Trusted Advisor: Committed to education, transparency, and ethical guidance. Local Presence: Familiar with regional plan options and resources in Pennsylvania. Ongoing Support: Available year-round for questions, enrollment, and plan changes. Medicare FAQs Answered by Inman Medical Insurance ServicesQ: When should I sign up for Medicare? A: Your Initial Enrollment Period begins three months before your 65th birthday, includes the month you turn 65, and ends three months after. Signing up during this window avoids late enrollment penalties.Q: Whats the difference between Medicare Advantage and Medigap? A: Medicare Advantage (Part C) plans are all-in-one coverage offered by private companies and often include extra benefits like vision or dental. Medigap plans supplement Original Medicare by covering out-of-pocket costs.Q: Can I change my Medicare plan every year? A: Yes. During the Annual Enrollment Period (Oct 15 Dec 7), you can switch Medicare Advantage plans or Part D prescription drug plans.Q: How can I reduce my Medicare costs? A: Programs like Medicaid, Extra Help for prescription drugs, and Medicare Savings Programs can lower premiums and out-of-pocket costs. Inman Medical Insurance Services helps you find and apply for these.Take the Next Step Toward Medicare ConfidenceNavigating Medicare can be complicated, but you dont have to do it alone. Let Inman Medical Insurance Services guide you through the process with clarity and confidence. Their expert support ensures you select the right plan for your needs and budget, now and in the years ahead. For personalized Medicare help and a no-obligation consultation, call us today at 724-306- 8802. 6-8802
Kimberly Harris is a dedicated insurance agent committed to helping individuals and families find the right coverage tailored to their unique needs. With a focus on personalized service and a deep understanding of the insurance landscape, Kimberly assists clients in navigating the often complex world of insurance policies, ensuring they make informed decisions that provide security and peace of mind.Comprehensive Insurance SolutionsKimberly offers a wide range of insurance products designed to protect various aspects of her clients' lives. Her areas of expertise include:Health Insurance: Understanding the importance of maintaining good health, Kimberly provides clients with options that cover medical expenses, preventive care, and other health-related services.Life Insurance: To safeguard the financial future of clients' loved ones, Kimberly offers policies that provide financial support in the event of unforeseen circumstances.Auto Insurance: Recognizing the necessity of protecting one's vehicle and oneself on the road, Kimberly assists clients in finding policies that offer coverage for accidents, theft, and other vehicular incidents.Home Insurance: To ensure clients' homes and personal belongings are protected against damages or loss, Kimberly provides guidance on selecting appropriate homeowners' insurance policies.Personalized Service and Client EducationKimberly believes that an informed client is an empowered client. She takes the time to educate individuals about the nuances of different insurance policies, helping them understand coverage options, premiums, deductibles, and the claims process. This educational approach ensures that clients are confident in their insurance choices and understand the value of their investments.Serving the Southwestern Pennsylvania communities, Kimberly possesses in-depth knowledge of the local insurance market and regulations specific to Pennsylvania. This local expertise allows her to provide recommendations that are not only comprehensive but also compliant with state laws and tailored to the unique needs of Pittsburgh residents.Commitment to Client SatisfactionKimberly's dedication to her clients goes beyond policy selection. She is committed to building lasting relationships, offering ongoing support, and being readily available to address any questions or concerns. Her goal is to ensure that clients feel secure and supported throughout their insurance journey. Choosing the right insurance coverage is a critical decision that impacts one's financial stability and well-being. With Kimberly Harris as your insurance agent, you can trust that you are receiving personalized, knowledgeable, and dedicated service aimed at securing the best possible outcomes for you and your loved ones. Give Kimberly a call today, her services are provided at no charge - she can be reached at 412-561-9257.