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Monday, Dec 22, 2014
The Sun

Diabetics on Medicare face critical deadline

By Terry Blankenship
Special to The Sun

Published:

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If you have diabetes and are on Medicare, you have an important decision to make in less than a month.

You have probably heard that Medicare is changing the system through which you get your diabetes testing supplies. Currently you can order supplies from thousands of mail-order firms but starting July 1 you'll only be able to order from 18.

Few doubt 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 currently have an average co-pay of approximately $14.47 on their testing supplies. After July 1, the co-pay will decrease to approximately $4.49 for the same order. This is a savings almost 70 percent. The actual cost could be even lower or nothing if you have secondary insurance.

Despite these significant benefits, the new system is causing confusion in the short term for patients who must change providers. Not knowing where to turn makes them vulnerable to scammers who might see an opportunity to trick patients into giving personal information.

Patients wonder what matters most when choosing a provider. And, of course, the answer to that question depends on what the patient values most. 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's 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's 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 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's important to ask to ensure 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.

Additional information can be found at www.NationalDiabetesSupplyFinder.com, a website that helps people find the names of all 18 providers authorized by Medicare and a link to their services. Additionally you can contact Medicare directly.

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.

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