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 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.

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