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Medicare Part B covers a variety of services and supplies, such as: Blood glucose testing supplies (e.g., blood glucose monitors, test strips, and lancets) Certain preventive services, including diabetes self-management training and nutritional therapy Durable medical equipment, such as insulin pumps Therapeutic shoes or inserts However, Medicare Part B does not cover the following diabetes-related supplies: Insulin pens Syringes Needles Gauze Alcohol swabs So, to answer your question: Medicare does not cover insulin needles under Part B