The Health Care Financing Administration (HCFA) recently revised its policy for coverage of insulin pumps so that more people may now get the cost of their pumps paid for by Medicare.
According to the old policy, Medicare covered the cost of insulin pumps for type 1s who were already on the pump when enrolling in the insurance plan and were monitoring their sugar levels at least four times a day. It also provided coverage for new patients with a C-peptide level of .5ng/ml or less.
According to the new guidelines, Medicare pump coverage now applies to both types 1 and 2 who meet all the above mentioned criteria. Also, the C-peptide requirement was increased to less than or equal to between .6 and 1.0 ng/ml, depending on which lab took the test.