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Diabetes Education

Diabetes Education

Blood Glucose Meter & Insurance Coverage

Last Updated: 5/29/2015

Different plans cover varying amounts of the meter/ strips; there are exceptions to the list below. May use other meters but co-pays may be higher.

Many plans cover strips through prescription plans so be sure to verify prescription plan coverage. Sometimes it’s more cost effective through DME (durable medical equipment) so individual should check his/ her coverage. Also, some meter companies offer discount cards so it may be more cost effective to use the copay card instead of the recommendations below.

Recommended meters by each company:

  • Abbott: Freestyle Freedom, Freestyle Lite, Freestyle Insulinx, or Precision x-tra
  • Accu-chek: Nano, Aviva or Compact Plus
  • Bayer: Contour, Contour Next, Contour USB, or Breeze 2
  • Lifescan/One Touch: Verio, Ultra, Ultra 2, Ultra Smart, Ultra Mini

Insurance Co.

Will pay for this meter/strip

Comments

Access Any  
Advance PCS (drug card) One Touch or Accu-chek May use other meter, but co-pay may be higher.
Advantra Medicare Part D One Touch  
Aetna (private) Abbott or One Touch May use other meter, but co-pay may be higher.
Aetna Better Health One Touch Ultra meter only  
Amerihealth Caritas (formerly Amerihealth Mercy) Accu-chek Use Nano or Aviva (Compact Plus NOT covered)
Capital Blue Cross Varies Depends on individual plan.
CareMark One Touch or Accu-chek May use other meter, but co-pay may be higher.
Cigna One Touch or Accu-check May use other meter, but co-pay may be higher.
Express Scripts One Touch May use other meter, but co-pay may be higher.
Federal BC/BS Any Co-pays may vary.
Freedom Blue (Medicare plan) Any Must use DME supplier/mail order - CANNOT get supplies through a pharmacy.
Future scripts (drug card) Bayer or Abbott May use other meter, but co-pay may be higher.
Gateway Abbott  
Geisinger Health Plan One Touch Need letter of medical necessity to obtain meter
May need to get through DME supplier.
Health America/ Health Assurance One Touch Patient to call Member Services or call Patty Hodge (800)-788-6445 ext. 2507 for free meter.
Highmark Blue Shield Varies Depends on individual plan.
HYN (Healthy York Network) Advocate meter Should obtain from Healthy Community Pharmacy @ 116 South George St., Suite 101, York, PA (717) 812-2990.
Abbot and Bayer May use other meter, but co-pay may be higher.    
Keystone Bayer or Lifescan May use other meter, but co-pay may be higher.
Mamsi Accu-chek May use other meter, but co-pay may be higher.
Medco (drug card) One Touch or Accu-chek May use other meter, but co-pay may be higher.
Medicare Any
Note: need to use a pharmacy or mail-order supplier who is enrolled with Medicare and each of these suppliers may only offer certain meter(s). The meter(s) offered varies from supplier to supplier.

Starting July 2013, Medicare will implement a National Mail-Order Program for diabetes testing supplies.

When it starts, you’ll need to use a Medicare national mail-order contract supplier for Medicare to pay for diabetic testing supplies that are delivered to your home. If you don’t want diabetes testing supplies delivered to your home, you can go to any local store that’s enrolled with Medicare and buy them there.

If you choose to NOT use a supplier who is enrolled with Medicare you will have to pay a higher co-pay.

After meet $100 deductible Medicare covers 80% of strips & lancets. Will pay for 100 strips per month if use insulin & 100 strips per 3 months if do not use insulin (may get exceptions if needed)

Senior Blue (PA) Bayer or Accu-chek May use other meter, but co-pay may be higher
South Central Preferred See Express Scripts  
Tricare Contour, Freestyle Lite, Aviva or Precision xtra Note: must use one of these specific meters for lowest co-pay
United Health Care Community (formerly Unison Health Plan) Accu-chek or One Touch  
United Healthcare (private) Accu-chek or One Touch May use other meter, but co-pay may be higher.
UPMC One Touch or Bayer  
Veterans (in PA) Accu-chek Aviva meter ONLY Need to get supplies directly through VA facility
WellSpan Plus One Touch No co-pay if get One Touch supplies from WellSpan Pharmacy under DME (durable medical equipment) benefit.

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