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Submitted URL: https://www.medicare.gov/coverage/diabetes-prevention-program
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MEDICARE DIABETES PREVENTION PROGRAM



Medicare covers the Medicare Diabetes Prevention Program once in your lifetime,
if all of these conditions apply to you: 

 * You have
   Medicare Part B (Medical Insurance)
   
   Part B covers certain doctors' services, outpatient care, medical supplies,
   and preventive services.
   
   or a
   Medicare Advantage Plan
   
   Medicare Advantage Plan (Part C)
   A type of Medicare-approved health plan from a private company that you can
   choose to cover most of your Part A and Part B benefits instead of Original
   Medicare. It usually also includes drug coverage (Part D). 
   
   Refer to Medicare glossary for more details. 

 * Within 12 months of your first session, you have either a:
   * Hemoglobin A1c test result between 5.7 and 6.4%
   * Fasting plasma glucose of 110-125mg/dL
   * 2-hour plasma glucose of 140-199 mg/dL (oral glucose tolerant test) 
 * You have a body mass index (BMI) of 25 or more (BMI of 23 or more if you’re
   Asian).
 * You have no history of type 1 or type 2 diabetes
 * You've never been diagnosed with
   End-Stage Renal Disease (ESRD)
   
   Permanent kidney failure that requires a regular course of dialysis or a
   kidney transplant.

 * You've never participated in the Medicare Diabetes Prevention Program.

Your costs in Original Medicare

You pay nothing for this program if you're eligible.

What it is

The Medicare Diabetes Prevention Program is a proven health behavior change
program to help you prevent type 2 diabetes.

The program begins with 6 months of weekly group sessions. In these sessions,
you’ll get:

 * Training to make realistic, lasting behavior changes around diet and exercise
 * Tips on how to get more exercise
 * Strategies to control your weight
 * A specially trained coach to help keep you motivated
 * Support from people with similar goals and challenges

Once you complete the weekly sessions, you’ll get 6 monthly follow-up sessions
to help you maintain healthy habits.

If you started the Medicare Diabetes Prevention Program in 2021 or earlier,
you'll get 12 more monthly sessions if you meet certain weight loss goals.

Things to know

You can get these services from an approved Medicare Diabetes Prevention Program
supplier. These suppliers may be traditional health care providers or
organizations like community centers or faith-based organizations. To find a
supplier, visit Medicare.gov/talk-to-someone, and select "Find programs near
you" on the "Learn about preventing diabetes" card.


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