Managing a Chronic Condition Is a Long-Term Effort — Medicare Has Resources to Help
Living with a chronic condition — diabetes, heart disease, COPD, and others — involves ongoing care coordination, and Medicare includes several resources specifically designed to support that.
Chronic Care Management Services
Medicare covers Chronic Care Management (CCM) services for beneficiaries with two or more chronic conditions expected to last at least a year. CCM typically involves a care team helping coordinate your care between appointments — medication management, care plan updates, and communication between your various providers.
Special Needs Plans (SNPs)
If you have a qualifying chronic condition, a Chronic Condition Special Needs Plan (C-SNP) — a type of Medicare Advantage plan — is designed specifically around your condition, often including care coordination and benefits tailored to managing it.
Preventive Services Still Matter
Even with an existing chronic condition, Medicare’s preventive benefits remain relevant — many screenings and the Annual Wellness Visit are designed to catch complications or related conditions early, not just to detect new problems.
Diabetes-Specific Resources
Medicare covers diabetes self-management training, certain diabetes supplies, and — depending on your plan and situation — continuous glucose monitors. If you’re managing diabetes, it’s worth confirming exactly what your specific plan covers for supplies and monitoring equipment.
Medication Therapy Management
If you take multiple medications for chronic conditions, Medicare Part D plans are required to offer Medication Therapy Management (MTM) programs for beneficiaries who qualify — a structured review of your full medication list to catch interactions or unnecessary duplications.
Care Coordination Isn’t Automatic — Ask About It
Many of these resources exist but aren’t always proactively offered. If you’re managing a chronic condition, it’s worth directly asking your plan or your doctor’s office what chronic care resources you’re eligible for rather than assuming they’ll be offered automatically.
Review Your Plan With Your Condition in Mind
During AEP, specifically evaluate whether your plan’s network, formulary, and chronic care resources are still the best fit for managing your specific condition — needs can change over time even if your diagnosis hasn’t.
Have questions? Schedule a free review with Kayla Price, a licensed insurance agent at Price Services Group. Call 866-648-1578 or visit priceservicesgroup.com/schedule.
Price Services Group, LLC is not affiliated with or endorsed by the U.S. government or the federal Medicare program. NPN: 18530055 | Agency NPN: 20387435