Understanding insurance coverage for diabetes technology can feel confusing, but it doesn’t have to. At Diabetic Supplies Inc., we make the process simple, clear, and stress-free so you can get the supplies you need as quickly as possible.
We work with most major commercial insurance plans, Medicare, and many Medicaid programs. Our goal is to handle the hard parts: verifying benefits, completing paperwork, and coordinating with your doctor, so you can focus on your diabetes.
Insurance Plans
Step 1: We Verify Your Insurance Benefits
Once you place an order or request a device, our insurance team starts by verifying your coverage. We check:
To begin, we’ll ask for clear photos of your insurance card, your address, and your provider’s contact information.
Step 2: Prior Authorization (If Required)
Many plans require prior authorization before approving a CGM or insulin pump. If so, we work directly with your doctor to gather medical notes and submit the required paperwork.
Typical approval time: 7–21 business days (Processing times vary by insurance plan.)
Medicare vs. Commercial Insurance
Medicare (Part B)
CGMs and therapeutic insulin pumps may be covered as Durable Medical Equipment (DME). Medicare typically requires additional documentation and ongoing medical records.
Commercial Insurance
Coverage rules vary widely. Some plans only cover certain brands, while others process claims under the pharmacy benefit instead of DME. We determine which applies and coordinate everything for you.
Pharmacy Benefit vs. DME Benefit
Different plans classify diabetes supplies differently. Some cover sensors or supplies through your pharmacy benefit, while others require DME billing. We identify the correct path to avoid delays or denials.
Costs: Deductibles, Coinsurance & Copays
Before you move forward, we provide an estimate of your out-of-pocket responsibility based on your plan. Your final cost is determined by your insurer after your claim processes.
If a Claim Is Denied
Don’t worry, we assist with:
The most common denial reasons include missing documentation or a lack of prior authorization. We help resolve these issues quickly.
How You Can Speed Up the Process
You can help prevent delays by:
Frequently Asked Questions (FAQs)
Once insurance approves your request, we ship immediately.
Yes, depending on your insurance plan’s covered options.
It depends on your deductible and coinsurance. We’ll explain your estimated cost before moving forward.
Most patients receive supplies monthly or quarterly, depending on the device.
Notify us as soon as possible so we can update your account and verify new coverage.
You may email, fax, or submit documents directly to our team.
Contact Our Insurance & Billing Support Team
We’re here to help you understand your benefits and get the diabetes technology you need. Get started today.
Phone: (800) 231-3214
Email: info@diabeticsupplieinc.com
Fax: +1 877-288-2520