CONTOUR®NEXT Always covered under
Medicare Part B.*
Medicare Part B Coverage for CONTOUR®NEXT at Ascensia Diabetes Care
For Your Medicare Part B Patients –
getting CONTOUR®NEXT products should
never be difficult:
Choose the CONTOUR®NEXT Portfolio Blood Glucose Meter that works best for you.
Write a Medicare Part B prescription for CONTOUR®NEXT.
To avoid callbacks and ensure your patient receives the CONTOUR®NEXT Brand:
- Write the exact brand (CONTOUR®NEXT) of the product to avoid confusion or substitution
- Write “DO NOT SUBSTITUTE” on the prescription
Direct your patients to their pharmacy for fulfillment of their CONTOUR®NEXT prescription.
- If the prescription is denied, check that the pharmacy ran Medicare Part B.
Remember, CONTOUR®NEXT Test Strips are
always covered under Medicare Part B!*
Need more help? Here are answers to some frequently asked questions about Medicare coverage:
This is for informational purposes only. Please visit www.medicare.gov to learn more about Medicare plans and coverage.
Test strips are covered when medically necessary and prescribed by a physician. Medicare will reimburse either 80% of the Medicare Fee Schedule or the actual charges, whichever is less.
- This means that once the annual Medicare “Part B” deductible is paid, patients pay the other 20%. If they have supplemental or secondary insurance, they may pay even less than the 20%.
- Many pharmacies, mail order and medical equipment suppliers will take care of all the Medicare paperwork and billing submissions.
- Patients should ask the pharmacist if this service is offered before they buy their CONTOUR®NEXT test strips.
More questions about Medicare?
Learn more about Medicare plans and coverage at: https://www.medicare.gov/publications/11022-medicare-coverage-of-diabetes-supplies.pdf
This is for informational purposes only. Please visit www.medicare.gov to learn more about Medicare plans and coverage.
CONTOUR® NEXT Test Strips
For non-insulin treated patients
- 100 every 3 months
For insulin treated patients
- 100 per month
Important note:
Medicare allows additional test strips and lancets if deemed medically necessary. See LMN Matters SE1008 for more information: https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/SE1008.pdf
- You must provide your patient with a prescription in order to obtain Medicare reimbursement.
- Remember to specify "Do Not Substitute" on the prescription to ensure that your patient receives the CONTOUR®NEXT brand.
- Patients can take their prescription to their local pharmacy, hospital or clinic pharmacy, medical equipment supplier, or Medicare mail order contract supplier.
- Your patients may want to call their chosen supplier to ensure that they sell CONTOUR®NEXT test strips and that they will assist in filing their claim.
If your patients have any difficulty in obtaining their CONTOUR®NEXT test strips please call us (1-800-348-8100) and we will help them find a Medicare supplier who will provide them with CONTOUR®NEXT test strips.
- To find a supplier that’s enrolled in Medicare, visit www.medicare.gov/supplier or call 1-800-MEDICARE (1-800-633-4227) .
*Not a guarantee of coverage and payment. A doctor’s prescription is required for Medicare coverage and patients must meet Medicare eligibility coverage criteria. Coverage and payment may be subject to coinsurance, deductible and patient eligibility requirements. Visit http://www.medicare.gov to learn more about Medicare plans and coverage.
