How to Prescribe Accu-Chek Products through Medicare
Accu-Chek® is ALWAYS COVERED on Medicare Part B.1
Your patient pays only $1.66 for 50 test strips and may pay a $0 co-pay.2
Give your patient a better testing experience. Prescribe Accu-Chek Guide Me, and send your patient to a retail pharmacy.
How to write Medicare Part B prescriptions to eliminate callbacks
The following information is required for Medicare Part B coverage of blood glucose monitors and testing supplies:3,4
For beneficiaries who are insulin-dependent, Medicare provides coverage for up to 100 test strips and lancets every month, and one lancing device every 6 months.
For beneficiaries who are not insulin-dependent, Medicare provides coverage for up to 100 test strips and lancets every 3 months, and one lancet device every 6 months.
Note: Medicare allows additional test strips and lancets if deemed medically necessary. See MLN Matters SE1008 for more details.
Additional tips to make sure your instructions are followed at the pharmacy
- Write the exact brand of the products to avoid confusion.
- To ensure your patient receives the Accu-Chek brand, write “DO NOT SUBSTITUTE” on the prescription.
- If the prescription is denied, check that the pharmacy ran Medicare Part B.
Roche Diabetes Care, Inc. does not provide coding or medical necessity advice. This information is shared for educational/informational purposes only. Additional guidance about coverage and documentation requirements for blood glucose test strips is available from CMS and the applicable Medicare Administrative Carrier (MAC).
1 Accu-Chek test strips are covered when medically necessary for the patient and prescribed by a physician.
2 After patient meets $183 Part B deductible. $0 co-pay may occur when patient has a supplemental health plan. Coverage and payment subject to co-insurance, deductible, and patient eligibility requirements. Roche Diabetes Care Inc. does not guarantee coverage or payment
3 Centers for Medicare & Medicaid Services. Basic Home Blood Glucose Monitor and Supplies Order Template Guidance. Sept 2017. https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-a.... Accessed February 6, 2018
4 Centers for Medicare & Medicaid Services. Medicare coverage of blood glucose monitors and testing supplies. Medicare Learning Network. SE1008; Dec 2015.
Available at: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN...
Accessed February 1, 2018.