Our Medicare Advantage plans offer specific benefits geared toward those needs.
Do you have diabetes? Make sure you are taking steps to stay healthy:
Struggling to manage your diabetes? Get the help you need by completing our Care Management form to be connected with a nurse case manager.
Does insulin play a role in managing your diabetes? We can help. Our plans offer reduced copays on insulin until you reach the catastrophic stage of Medicare Part D coverage. We offer:
Find preferred pharmacy and standard retail pharmacy locations.
Our insulin savings program applies to all insulins on the formulary*, including:
* Includes Pen Injector, Injectable Solution, Injectable Suspension and Cartridge.
Supplies to monitor your blood glucose are covered at $0. Covered supplies include blood glucose monitors, blood glucose test strips, lancet devices and lancets, and glucose-control solutions for checking the accuracy of test strips and monitors. Diabetic testing supplies must be Accu-Chek brand in order to be covered.
Continuous glucose monitors are now covered at your retail pharmacy as well as Edgepark and Dexcom medical supply companies at $0 Coinsurance. Our plans cover Freestyle Libre, Freestyle Libre 2, Dexcom G5 and Dexcom G6 monitors.
Ask your doctor if you are eligible being you must meet Medicare guidelines to take advantage of this $0 continous glucose supplies benefit
Insulin pumps covered by our plan are Minimed, T Slim and Omnipod. Insulin pumps are covered under the Durable Medical Equipment (DME) benefit. You will pay 20% coinsurance in-network for insulin pumps.
Insulin supplies are covered under the Part D benefit. Covered insulin supplies include syringes, needles, alcohol swabs and gauze. Insulin supplies are on Tier 2 of our formulary. The Tier 2 copay is $5 at preferred retail pharmacies and $12 at standard retail pharmacies.
| Drug name | Drug tier |
|---|---|
| Parenteral therapy supplies | |
| Insulin syringe (disp) u-100 1/2ml | 2 |
| Bandages-dressings-tape | |
| Gauze pads & dressings - pads 2 x 2 | 2 |
| Misc. Devices | |
| Isopropyl alcohol 0.7ml/ml pad | 2 |
| Parenteral therapy supplies | |
| Insulin pen needle | 2 |
| Insulin syringe (disp) u-100 0.3ml | 2 |
| Insulin syringe (disp) u-100 1ml | 2 |
| Needles insulin disp. Safety | 2 |
For people with diabetes who have severe diabetic foot disease, we cover one pair per calendar year of therapeutic custom-molded shoes (including inserts provided with such shoes) and two additional pairs of inserts, or one pair of depth shoes and three pairs of inserts (not including the non-customized removable inserts provided with such shoes). This coverage includes fitting. You will pay 20% coinsurance in-network for therapeutic shoes and inserts. Therapeutic shoes and inserts are only available through NPS Foot Health.