Information for PWD’s on Medicare

I’d like to pass along some (hopefully) helpful information around some changes that are coming very soon in Medicare. I received this information from Terry Blankenship, VP of Patient Care for Diabetes Care Club. With that in mind, it’s clearly a PR push for them, but I still think it’s useful information and wanted to get it out.

There has also been a lot of concern about the price cuts on test strips and how that will affect quality and safety. It’s a huge issue that I haven’t quite wrapped my head around, but as patients, we need to be really concerned about. If companies that are spending lots of money on quality assurance can only give us the accuracy we see today, what do you think the accuracy will be on a strip  from a company without the resources to provide that quality assurance? It’s a scary thought.

I need to disclose that I have a business relationship with Diabetes Care Club; it’s more on the social media side of things. Everyone I’ve worked with there has been great, but I have never used their mail order supply service, and can’t vouch for it.

On to the info!

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imagesYou have probably heard that Medicare is changing the system through which you get your diabetes testing supplies.  So unlike now, when you can order supplies from thousands of mail order companies, beginning July 1 you’ll only be able to order from 18.

There is little question that this new system will be better in the long run.  The government will save money and you will see your co-pay and deductible amounts decrease.  For example, patients testing one time a day, before July 1, have an average co-pay of approximately $14.47 on their testing supplies.  After July 1, for the same order, the co-pay will decrease to approximately $4.49. This is a savings to you of almost 70%!  The actual cost may be even lower or no cost at all if you have secondary insurance.

Yet despite these significant benefits, in the short term this new system is causing confusion for patients who must change providers.  They don’t know where to begin.  And this makes them vulnerable to scammers who might see an opportunity to trick patients into giving personal information.

At Diabetes Care Club, we have heard these types of concerns from people who call searching for a new provider.  They are rightly apprehensive about moving to another company and don’t know exactly what questions to ask. 

Patients wonder what matters most when choosing a provider.  And, of course, the answer to that question depends on what the patient values most.  Still, after years in the diabetes care industry, I believe there are some key points that patients and their caregivers should consider before selecting a provider to trust with their healthcare needs.

  • How much experience does the provider have? A provider should have a proven record of excellence in distributing diabetes supplies and responding to large numbers of customers. If you receive a call or email from a provider and are unsure of their legitimacy, it is important to check your sources before providing any personal information. Medicare will not call patients about this change so if you receive a call claiming to be from Medicare, it is a scam.
  • Is the provider big enough to handle more customers without disruption? A provider should be able to explain in detail how it has prepared to take on thousands of new customers beginning on July 1.
  • Is diabetes the provider’s main focus? Ideally, a provider should make diabetes care its top priority rather than spreading its resources over a range of medical issues.
  • What ordering options does the provider offer? A provider should allow patients to order testing supplies by phone, email, or online and offer convenient hours for customer support.
  • Does the provider accept “assignment?”  All mail-order providers must accept assignment, which means they cannot charge more than the prices set by Medicare.  But retail outlets like pharmacies do not have to accept assignment and can charge more.  It is important to ask to make sure you are not paying added costs.
  • What products does the provider stock?  A quality provider should offer a wide range of products so that patients can get a product that best meets their needs.
  • Does the provider handle all the paperwork? A quality provider will handle any paperwork associated with Medicare, saving patients time and effort with these confusing forms.
  • Does the provider deliver on time and for free? Patients should expect their provider to cover the costs of shipping and guarantee that testing supplies will arrive on time and in proper condition.

I also recommend that patients and their caregivers visit www.NationalDiabetesSupplyFinder.com, a website that helps people find the names of all 18 providers authorized by Medicare and link to their services.  Additionally you can contact Medicare directly.

My hope is that by arming people with a few key questions and more information, we can help them make a seamless and stress free switch to a provider they trust.  In that way, they will be able to rest assured after July 1 that their supplies will be waiting for them in the mailbox, just as always.

Terry Blankenship is vice president of patient care at Diabetes Care Club, the nation’s 3rd largest provider of diabetic testing supplies and one of only 18 companies authorized to serve Medicare patients.  He invites people to email questions to [email protected]simplexhealthcare.com.  For further information on Diabetes Care Club, visit www.diabetescareclub.com. Or call 1-800-376-7521.


Disclosure again, just to be sure: I have a business relationship with Diabetes Care Club; it’s more on the social media side of things. Everyone I’ve worked with there has been great, but I have never used their mail order supply service, and can’t vouch for it.

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One thought on “Information for PWD’s on Medicare

  1. Thanks Scott. It’s been kind of confusing. I talked to my pharmacist about it several months ago and he was confused. From what I understand, Medicare will be paying independent pharmacies at the same rate they pay mail order companies – and my pharmacy is already losing money on strips. My co-pay there would go from $0 to $70 for a box of 100 strips. Except I think Medicare requires them to accept a specific amount. I don’t see how they will be able to continue to provide strips through Medicare. I didn’t know where to start to find a reputable mail order company or how it works – so I really appreciate your information.