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Senior SavingsHealth·Mar 22, 2026

Diabetes Supplies and Medicare: What's Covered and What Isn't

Test strips, CGMs, insulin pumps, and more — Medicare's rules changed dramatically. Here's the 2026 update.

What Medicare covers (Part B)

  • Blood glucose monitors and test strips — usually 100 strips/month (insulin users) or 100/3 months (non-insulin). You pay 20% after deductible.
  • Continuous Glucose Monitors (CGMs) like Dexcom G7 and Freestyle Libre 3 — fully covered for most diabetics.
  • Insulin pumps — covered as durable medical equipment.

Insulin pricing in 2026

  • $35/month cap on insulin under Medicare Part D (continuing).
  • Some manufacturers (Eli Lilly, Novo, Sanofi) cap insulin at $35 commercially as well.

CGM access expanded

CGMs are now covered for anyone on insulin, not just multiple-daily-injection users. If your provider hasn't updated your prescription, ask.

Cheaper test strips if not covered

  • ReliOn (Walmart) — $9 for 50 strips with their meter. No insurance needed.
  • GoodRx coupons for OneTouch and Accu-Chek strips — sometimes 70% off retail.

What's NOT covered

  • Lancets and lancing devices sometimes pushed back to you (verify with your DME).
  • Some test strip brands require specific supplier approval.

Bottom line

If you have diabetes and Medicare, you should be paying under $50/month total for supplies. If you're paying more, call your plan — there's almost certainly something to fix.