| HMO | Insulin and Diabetic Supplies |
| Aetna US Healthcare | Covered in accordance with new laws. |
| Blue Cross Blue Shield | Covers: Equipment, supplies, medications and laboratory procedures needed to treat diabetes. Also covers diabetic outpatient self-management training and educational services.
Limits: Some equipment may require prior approval. |
| CIGNA / Healthsource | Covers: Equipment, supplies, medications, and laboratory procedures needed to treat diabetes. Diabetic equipment requires prior authorization. |
| Doctors Health Plan | Covered. |
| Generations | Covered. |
| Optimum Choice | Covered.
Cost Sharing: Copayments may apply. |
| PARTNERS | Covers: Supplies and medications used to treat diabetes.
Limits: Medications for members without a prescription rider are limited to a 30-day supply and subject to a copayment equal to the copayment required for an office visit. In addition, individuals with prescription benefits through another plan are subject to coordination of benefits. Cost Sharing: Copayment or coinsurance applies to all equipment and supplies. Excludes: Experimental equipment and supplies, such as implantable insulin pumps. |
| Coventry/Principal Health Care of the Carolinas | Covered. |
| QualChoice | Covers: Equipment, supplies, medications and laboratory procedures used to treat diabetes. |
| The Wellness Plan of North Carolina, Inc. | Covers: Equipment, supplies, medication, lab services, outpatient self-management training and education. Covered services must be medically necessary and appropriate. |
| 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.
Cost Sharing: Copayments apply to diabetic services, medication, and treatment, including a copayment charge for each vial of insulin. Note: Diabetic equipment, such as glucometers, is covered under the durable medical equipment benefit. Members must forward their receipts to UHC for reimbursement of the eligible portion. |
| WellPath | Covers: Injectable insulin, insulin syringes, and disposable supplies required for diabetic testing with a blood glucose testing device (e.g. test strips, alcohol swabs and lancets) prescribed for a member to control his/her diabetes. |