"Is this covered?" is the first question most people ask — and insurance language can make it hard to answer. Here's a simple breakdown of how coverage usually works for diabetic shoes, compression garments, and continuous glucose monitors, and how to find out what you qualify for without the guesswork.
The three main types of coverage
- Medicare covers many durable medical equipment (DME) items when they're medically necessary and prescribed — for example, therapeutic shoes for qualifying people with diabetes, CGMs, and certain compression supplies.
- Medicaid coverage varies by state but often includes similar supplies for those who qualify.
- Commercial / private plans (through an employer or marketplace) set their own rules, but most cover prescribed DME with some cost-sharing.
What affects your out-of-pocket cost
A few things determine what you actually pay:
- Your deductible — the amount you pay before coverage kicks in.
- Coinsurance — a percentage you may owe after the deductible.
- Medical necessity & documentation — coverage usually requires a prescription and supporting notes from your doctor.
- In-network suppliers — using an in-network provider keeps costs predictable. Quantum is in-network with Medicare and many plans.
The result: many qualifying patients pay little or nothing beyond any deductible or coinsurance.
Why a prescription matters
Most covered supplies require a prescription plus documentation showing the item is medically necessary. Gathering that paperwork is where coverage often stalls — so we coordinate directly with your physician's office to get it right the first time.
How to find out what you qualify for
You don't have to decode your plan alone. The simplest path is to let us verify your benefits for you — it's free and there's no obligation. Tell us what you need and we'll confirm coverage, handle the prescription, and explain any expected cost up front.
Frequently asked questions
Do I need a prescription?
Many items require a prescription and supporting documentation. We coordinate this with your physician's office for you.
How much will I pay out of pocket?
It varies by plan. After any deductible you may owe coinsurance, but many qualifying patients pay little or nothing. We verify before you order.
What if I'm not sure my plan is accepted?
We're in-network with Medicare, Medicaid, and many commercial plans. If you're unsure, we'll check your specific coverage at no cost.