Medicare Advantage diabetes benefits

variety of foods and workout equipment

We understand the special needs individuals with diabetes face. Our Medicare Advantage plans offer specific benefits geared toward those needs.


Managing your diabetes

If you have diabetes, make sure you are taking steps to stay healthy:

woman walking


Struggling to manage your diabetes? Get the help you need by completing our Care Management form to be connected with a nurse case manager.


Insulin savings

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:

  • $30 insulin fills at preferred pharmacy locations.
  • $35 insulin fills at standard retail pharmacies.

Find preferred pharmacy and standard retail pharmacy locations.

Our insulin savings program applies to all insulins on the formulary*, including:

  • Fiasp 100 unit/ml
  • Humulin R 500 unit/ml
  • Levemir 100 unit/ml
  • Novolog 100 unit/ml
  • Lantus 100 unit/ml
  • Novolin N 100 unit/ml
  • Novolin R 100 unit/ml
  • Toujeo 300 unit/ml
  • Toujeo 100 unit/ml
  • Tresiba 100 unit/ml
  • Tresiba 200 unit/ml

* Includes Pen Injector, Injectable Solution, Injectable Suspension and Cartridge.


Diabetic supplies

$0 Diabetic supplies 

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

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 continuous glucose supplies benefit. 

Insulin pumps

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

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.

Medical devices and supplies

Drug name
Drug tier
Parenteral therapy supplies
Insulin syringe (disp) u-100 1/2ml2
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


Therapeutic shoes and inserts

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.


Benefits supporting diabetes management

$0 Part C benefits

 


Additional benefits

  

View our Medicare disclaimers.

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Updated 2/8/21