If your clinician has told you that you have prediabetes, help with food, movement and everyday habits may be available at no cost through Medicare.
The Medicare Diabetes Prevention Program is a Part B benefit for eligible people at risk of developing type 2 diabetes. It offers coaching and a structured course of practical changes, with in-person, live online and self-paced online options.
Who qualifies?
You need Medicare Part B, either through Original Medicare or a Medicare Advantage plan, and must meet the program’s eligibility rules. These include:
- A qualifying blood test within 12 months before your first session: an A1C of 5.7%–6.4%, fasting plasma glucose of 110–125 mg/dL, or a two-hour oral glucose tolerance test result of 140–199 mg/dL.
- A body mass index of at least 25, or at least 23 if you identify as Asian.
- No previous diagnosis of type 1 or type 2 diabetes. A history of gestational diabetes is allowed.
- No current end-stage renal disease. If you previously had it, ask the supplier to check your individual eligibility.
Your clinician can help interpret your results and discuss whether the program suits your health needs. CMS does not require a referral for the program itself; blood tests have separate coverage and referral rules.
What does participation involve?
The Medicare course runs for a year: 16 core sessions during the first six months, followed by six monthly sessions. Coaching focuses on lasting changes in eating, physical activity and weight management, with support to keep going when everyday obstacles get in the way.
You pay nothing for the covered program if you qualify and use an approved Medicare supplier. If you have Medicare Advantage, check your plan’s provider network before enrolling. Confirm separately whether a clinician visit or testing would involve a charge.
Federal legislation removed the former once-per-lifetime limit for 2026 through 2029. Eligible participants may take the course again after their latest 12-month service period ends. Ask the supplier to check your eligibility and dates before restarting.
Where local residents can start
Marysville: Sea Mar lists a Spanish-language diabetes prevention program with in-person and Zoom delivery. Its contact is Daniella Ochoa. Sea Mar says its program is free for its clients. Ask about the next intake, client requirements and the class format; a local listing does not establish Medicare billing eligibility.
Camano Island and other Island County residents: The county’s diabetes prevention directory points residents to Sea Mar and the YMCA of Greater Seattle, including virtual options.
Online: The YMCA of Greater Seattle lists Zoom cohorts beginning Jan. 25 and Feb. 18, 2027. Its website invites residents to join an interest list and check insurance coverage. Ask about current openings and coverage for your specific plan before signing up.
For an approved Medicare supplier, use the provider-finding option on Medicare’s program page or call 1-800-MEDICARE (1-800-633-4227). Have your insurance details and recent test results ready when you speak with the program. You can ask about language, accessibility, technology needs and the next available start date.
People already living with diabetes can find separate education options in our guide to diabetes education for Arlington, Stanwood and Camano residents.
Information checked Nov. 8, 2026. Sources: Medicare; CMS’s program overview, FAQs and repeat-participation guidance; 42 CFR 410.79; and the linked local program pages. Confirm class openings and coverage with the provider before enrolling.
