Managing chronic and serious conditions can be a lot of work, but it’s essential to staying on top of your health. That’s why we offer specialized programs to help our members who have diabetes, congestive heart failure, and kidney disease.
Are you eligible?
Call our dedicated care management team: 1-800-392-0098 (TTY: 711)
8:30 am to 4:30 pm ET, Monday - Friday
If you have type 1 or type 2 diabetes, your plan benefits will cover the cost to buy certain medically necessary diabetic testing supplies. See below to understand how diabetic test strips and monitors are covered under your plan. Also, Medex plans with the Syringes and Needles rider have no cost for needles and syringes. Plus, Medicare Advantage members have access to a highly-trained team of Diabetes Navigators from Team Blue who will use their specific skills and knowledge to help guide and support you.
Coverage for Diabetic Testing Supplies and Insulin and Syringes:
Getting your medically necessary testing supplies at no-cost is easy. Based on your plan type, you may be eligible for a no-cost purchase at the pharmacy, or mailed reimbursement with your receipt. See the chart below for coverage on testing supplies, insulin, and syringes.
Coverage For: | You Pay: |
|
|
Important Message About What You Pay for Insulin - You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on, even if you haven’t paid your deductible (if applicable).
One-on-One Help From a Diabetes Expert
The Diabetes Navigator Program is a specialized program designed to provide tailored support and resources to our Medicare Advantage members with diabetes or prediabetes. The Team Blue Navigators are trusted advocates that are on-hand to encourage and support your journey when managing this chronic condition. The goal is to:
- Motivate you to make critical lifestyle changes through an awareness of barriers such as cost, resources, transportation, and benefit understanding
- Offer extensive knowledge, awareness, and support
To talk to a Diabetes Navigator, call 1-800-200-4255 (TTY: 711), 8:00 a.m. to 5:00 p.m. ET, Monday through Friday.
Coverage For: | You Pay: |
|
|
Questions?
Call us at 1-800-258-2226 (TTY: 711)
8:00 a.m. to 6:00 p.m. ET, Monday through Friday.
1. Subject to plans with Syringes and Needles rider
2. You have two (2) years from the date of purchase to submit a claim form for reimbursement.
Please send your receipt and claim form to: BCBSMA P.O. Box 986030 Boston, MA 02298
Coverage For: | You Pay: |
|
|
Questions?
Call us at 1-800-258-2226 (TTY: 711)
8:00 a.m. to 6:00 p.m. ET, Monday through Friday.
1. Subject to plans with Syringes and Needles rider
2. You have two (2) years from the date of purchase to submit a claim form for reimbursement.
Please send your receipt and claim form to: BCBSMA P.O. Box 986030 Boston, MA 02298
We’re working with home health care providers (visiting nurse organizations) to give Medicare Advantage members managing congestive heart failure access to in-home telemonitoring services, at no additional cost. With this program, you’ll have:
- Fewer visits to the doctor
- Convenient setup for ongoing in-home health monitoring
To see if you’re eligible, call Team Blue at 1-800-392-0098 (TTY: 711), 8:30 a.m. to 4:30 p.m. ET, Monday through Friday. If you qualify, the health home organization will work directly with your doctor to develop and implement a care plan. Then, they’ll send a nurse to you to set you up for the program.
We want to support our members on their health journeys by making sure they get the help they need, when they need it. That’s why we’ve teamed up with Square Knot Health, an independent company specializing in kidney disease management, to support the care of our members managing chronic kidney disease (CKD).
If you qualify, Square Knot will pair you with a specially trained kidney disease navigator who will:
- Assess your current kidney disease status and overall health
- Partner with your nephrologist and primary care provider to support you and develop a plan specific to your needs
- Be a readily available resource for questions related to your kidney health
For more information on the program, visit squareknot.com. To see if you’re eligible, call Team Blue at 1-800-392-0098 (TTY: 711) and press 1, Monday through Friday, 8:30 a.m. to 4:30 p.m. ET.