Part B or Part D?
This is how Insulin syringes, Insulin pens and Disposable insulin pumps are covered.
Part D
This plan type covers insulin and insulin supplies.
Part D
also acceptable Prescripion coverage
Some diabetes medication is used for this off-label reason and is NOT covered under Humana.
The member is covered for these 2 types of vision services once per calendar year.
Dilated eye exam and Glaucoma testing
We would use these tools/systems to quote the price for a part D insulin
Drug guide/Formulary
RxSOB
This is how a Lancet device or Blood sugar test strip is covered.
This is the process document you would use to help a member calling in about coverage for their diabetic supplies.
Diabetic Supplies Inquiries Medicare.
This benefit is covered every six months for members with Diabetic peripheral neuropathy and loss of protective seensation.
Diagnostic Foot exam
also acceptable Diabetic foot exam
foot exam
A member may be diagnosed with this if they have a higher-than-normal blood sugar level, but not high enough to be type 2 diabetes.
Pre-Diabetes
Handles all Prior Authorization requests for part B and part D diabetic supplies
HCPR
These are Humana's preferred diabetic DME suppliers for CGMs.
CCS Medical and Edwards Healthcare.
Some diabetes medication is used for this off-label reason and is NOT covered under Humana.
Weightloss
People who have this type of diabetes no longer produces insulin and must receive insulin by injection
Type 1 Diabetic
Covered under part D, this can't be taken orally to lower blood sugar. Must be received through injection or pump.
Insulin
This hand-held device uses test strips to measure glucose levels after using a lancing device to stick the fingertip and draw blood.
Also known as cutting and removal of corns and callouses, trimming/cutting of mails and other hygienic/preventative maintenance care.
Routine Foot Care
Name at least 2 types of treatment options for diabetics.
-Taking insulin through pump or injection.
-Oral medications.
-Frequent blood glucose monitoring.
-Healthy eating and physical activity.
Debut.
This is the amount of test strips typically allowed every 30 days, without a prior authorization.
150
Member is covered for 10 hours of initial training and 2 hours of follow-up training each year with this benefit.
Diabetes Self-Management Training (DSMT)
This type of insulin keeps working in the background to keep your blood sugar under control throughout your daily routine.
Long-acting insulin