Diabetes Tests, Programs and Supplies

Aetna covers outpatient diabetes self-care programs (must be provided by recognized professionals and ordered by the treating physician with a signed statement of medical necessity), standard diabetic supplies (alcohol swabs; glucose meters, test strips and control solutions; insulin pens; lancets; needles/syringes; urine test strips/tablets), GAD antibody testing to distinguish type 1 vs type 2 diabetes when clinical history is ambiguous and to diagnose stiff-person syndrome, and jet injectors as DME when the member or caregiver cannot use conventional syringes. Anti-GAD testing is investigational for predicting diabetes onset and other uses, long-term CGM is investigational for type 2 patients not on intensive insulin (and for nesidioblastosis, neonatal hypoglycemia, and non-diabetic post-gastric-bypass monitoring), short-term CGM is limited to two continuous monitoring periods per 12 months, and I-Port ports and combination devices not specifically indicated for diabetes are non‑covered convenience items.