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Ordering guide

How to order diabetic supplies with Scotts

What happens between the first call and the first delivery, what your prescriber has to document, and how resupply runs afterward. Written for patients and the people helping them.

Key takeaways

  • Three things have to line up: a need, a prescriber’s order, and documentation in your chart. We handle the third with your prescriber so you do not have to.
  • We verify coverage before anything is delivered and tell you what your plan says your share is.
  • Resupply runs on the policy’s schedule, tracked by us and confirmed with you before each shipment.

How it works, step by step

  1. Tell us what you need. Call (800) 304-7030, start in the order wizard, or have your clinician send a referral with the documents attached. If you already use a product, the manufacturer code on the box is the most useful thing you can give us: it settles size, style and fit without guesswork.
  2. We verify your benefits first. Medicare Part B, Florida Medicaid, Medicare Advantage and most commercial plans. Before anything ships you hear what the plan covers and what your share is, and if it is not covered we say so and quote a private-pay option instead.
  3. We collect the order and the documentation from your prescriber. For diabetic supplies that usually means:
    • A written order for the monitoring system, including testing frequency
    • Documentation of the diabetes diagnosis and, for CGM, evidence supporting the clinical criteria the plan applies — typically insulin use or documented hypoglycaemia. These criteria have changed repeatedly and are plan-specific
    • For higher testing frequencies, documented justification
    • For therapeutic footwear, the prescribing physician’s certification and the specific foot condition
    You do not chase the paperwork; we do, and we tell you if something is missing.
  4. Delivery or shipping. Delivered and set up across South Florida, or shipped across Florida, with the instructions you need and a phone number for the questions that come later.
  5. Resupply, if it applies. Supplies that recur are tracked on the policy’s schedule. We check in before each shipment; nothing ships that you did not ask for. How automatic resupply works.

What Medicare looks for

Continuous glucose monitor is covered under Medicare policy LCD L33822, Glucose Monitors. In plain words, the chart has to show this: Device must be on the PDAC product classification list. The diagnoses it names include type 1 diabetes, type 2 diabetes. How often the policy allows a replacement depends on the item: monthly, ongoing; one-time purchase.

Therapeutic shoes + custom inserts is covered under Medicare policy LCD L33369, Therapeutic Shoes for Persons with Diabetes. In plain words, the chart has to show this: Diabetes ALONE does not qualify. The patient must also have one of: previous amputation, past foot ulcer, pre-ulcerative callus, peripheral neuropathy with callus, foot deformity, or poor circulation. The CERTIFYING physician must be the one treating the diabetes and must document the qualifying condition. the prescribing podiatrist cannot certify. One pair per calendar year. The diagnoses it names include type 2 diabetes, type 1 diabetes, diabetic neuropathy, polyneuropathy, foot ulcer. How often the policy allows a replacement depends on the item: 2 per calendar year; 6 per calendar year.

Policies change and plans differ; the link above is the current text. We do not publish allowances or quantity limits here because the number that applies to you depends on your plan and your chart. Ask us and we will tell you yours.

Products people order

The manufacturers’ own photographs, shown under our dealer agreements. Pick one to check coverage and order it; sizes and pack counts come next.

All diabetes & monitoring product families

Brands we carry

Abbott, Dexcom, McKesson, Medline, DermaRite.

Questions people ask

Am I eligible for a CGM?
Eligibility criteria for continuous glucose monitors are specific, plan-dependent, and have changed several times in recent years. We check the current criteria against your situation rather than quoting a rule that may be out of date. Call us.
Can you supply insulin?
No — insulin and other medications come from a pharmacy. We supply the monitoring equipment, the delivery supplies and the foot care items.
Why are you talking about my feet?
Because diabetic neuropathy means a foot injury can develop without you feeling it, and diabetic foot ulcers are a leading cause of amputation. Check your feet daily, and if you find anything — a blister, a red patch, a callus that has changed — get it seen quickly. We will supply what your clinician orders, same week.

Related

About this guide

This is general information written to be useful, not medical advice, and it is not a coverage determination. It does not replace what your own clinician has told you about your own situation — where the two differ, follow your clinician.

We deliberately publish no prices, allowables or fee-schedule figures. Those vary by plan, state and year, and a stale number is worse than none. Call (800) 304-7030 and we will verify your actual benefit.

Not sure where to start?

Call us and tell us what happened — a surgery, a new diagnosis, a discharge date, a supply you keep running out of. We will tell you what is usually needed, check your benefits, and ask your prescriber for the order if you do not have one yet.