Medicare Diabetes Prevention Program

The Medicare Diabetes Prevention Program helps members lose weight and adopt healthy habits to prevent Type 2 diabetes. For members who meet goals and weight loss targets, the program is available for up to two years with no copay, coinsurance or deductible. Members will have to take a blood screening test to see if they qualify.

What's included

  • Ongoing weight-loss maintenance sessions
  • A lifestyle health coach that helps members stay on target
  • Small, in-person support group sessions

Eligibility requirements 

  • Enrollment in Medicare Part B
  • Blood value: 
    • Fasting plasma glucose of 110-125 mg/dl or
    • A1C value between 5.7-6.4, or
    • Oral glucose tolerance test between 140-199 mg/dl
  • BMI greater than 25 (or if Asian, greater than 23) 
  • No diagnosis of end stage renal disease, Type 1 or Type 2 diabetes
  • A previous gestational diabetes diagnosis is acceptable 

While the program is available online, members need to give blood screening test results in person.

For more information, please read these documents:

Solera Health will help enroll qualified members into a MDPP in their area. If you're a CDC DPP provider with full or partial recognition, email or call Solera at 1-877-486-0141 and ask for Schawn Pedersen. If you're already a provider or partner, please contact your Solera Account Manager.