These data reflect the most commonly purchased benefits package for each of the health plans in
the year 2000. Coventry/Principal would not supply updated information.

HMO Diabetic Treatment
Aetna US Healthcare Complies with new laws.
Blue Cross Blue Shield Covers: All medically appropriate and necessary diabetic related services, including equipment, supplies, medications and laboratory procedures. Also covers diabetic outpatient self-management training and educational services.

Limits: Limits may apply.

CIGNA / Healthsource Covers: Medically necessary outpatient self-management training and education. Treatment and education are covered for diabetic medications and supplies in accordance with the state requirements. Diabetic medications and supplies are covered with or without a drug supplemental policy. Copayment may apply.

Limits: Outpatient facility self-management programs require prior approval.

Doctors Health Plan Covers: Outpatient self-management training and educational services, equipment, supplies, medications and laboratory procedures used to treat diabetes.

Limits: Outpatient facility self-management programs and educational services require prior authorization.

Generations Covers: Outpatient self-management training and educational services when approved in advance by Generations. Also covers equipment, supplies, medications and laboratory procedures related to the management of diabetes.

Limits: Insulin pumps require prior authorization.

Excludes: Over the counter medication and supplies.

Optimum Choice Covers: Medically necessary diabetes outpatient self-management training and educational services used to treat diabetes.
PARTNERS Covers: Self-management training and educational services, equipment, supplies, medications and laboratory procedures used to treat diabetes.

Limits: Medications for members without a prescription rider are limited to a 30-day supply. In addition, individuals with prescription benefits through another plan are subject to coordination of benefits.

Cost Sharing: Members without a prescription rider are subject to a copayment equal to the copayment required for an office visit. DME copayment or coinsurance applies to all equipment and supplies.

Excludes: Experimental equipment and supplies, such as implantable insulin pumps. Portable external subcutaneous insulin pumps are covered with prior approval by the plan.

Coventry/Principal Health Care of the Carolinas Covers: Medically necessary equipment, supplies, services, equipment, medications, and laboratory procedures.
QualChoice Covers: Medically necessary diabetes outpatient self-management training and educational services, equipment, supplies, medications and laboratory procedures.

Limits: Qual Choice shall arrange for the provision of diabetes self-management training and education services.

Cost Sharing: Cost Sharing may apply.

The Wellness Plan of North Carolina, Inc. Covers: Approved outpatient self-management training and education that is medically necessary.
United HealthCare Covers: Medically necessary services, supplies, medications, and laboratory procedures for the treatment of diabetes when ordered by a participating physician or a health care professional designated by the physician. Diabetes outpatient self-management training and educational services also covered if directed by a participating physician.
WellPath Covers: Medically necessary services, supplies, medications and laboratory procedures for the treatment of diabetes.

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