Diabetes Health Plan
What's new for the Diabetes Health Plan in 2015?
1.) No foot exam required for individuals with pre-diabetes (HbA1C<6.5% at the time of the baseline Health Risk Assessment)
2.) Special presentations added, which will be led by physicians and specialists in the field of diabetes care
3.) When billed to the BCBSNC insurance, a comprehensive eye exam will be covered at a $0 co-pay instead of just the retinal eye exam
4.) Provider signature no longer required for Action Item Completion Form or Enrollment Eligibility Form
5.) Letters will be sent out to providers to increase awareness of the Diabetes Health Plan and its benefits
6.) Testing supplies, including test strips and lancets, will only be available through PrimeMail beginning January 1st, 2015; glucometers and starter kits will still be provided by NHRMC's Diabetes Health Plan team
7.) Effective January 1st, 2015, insulin pump supplies will be covered at 100% with no deductible, provided the supplies are ordered through Edgepark; in addition, insulin pumps will be covered at 80/20 with no deductible for members of the Diabetes Health Plan
Diabetes Health Plan Hotline - 667.7777
View the DHP Hotline Summary for individual department extensions.
Questions? Call the Diabetes Health Plan Hotline at 910.667.7777.
What is the Diabetes Health Plan?
The Diabetes Health Plan is a cost-saving benefit offered to any pre-diabetic or diabetic employee or dependent covered under one of the NHRMC medical plans.
How are participants enrolled?
Participants are enrolled in 1 of 3 ways:
1.) Individuals are enrolled through annual employee Health Risk Assessment results. Any employee with an HbA1c of 5.7% or higher is automatically enrolled in the Diabetes Health Plan. Each person is given 30 days to opt out with no penalty.
2.) Individuals who have already participated in the Diabetes Health Plan by completing necessary action items in previous benefits years are automatically re-enrolled in the Diabetes Health Plan. Each person is given 30 days to opt out with no penalty.
3.) Newly covered employees or dependents may submit an Enrollment Eligibility Form if they want to enroll in the Diabetes Health Plan. Plan benefits are effective on the 1st of the month following the submission of the enrollment form.
What health actions are required?
Managing an ongoing health condition can be challenging. Your health actions will guide your way to better health. To stay in the Diabetes Health Plan, you will need to follow these required health actions:
(1) Two Health Risk Assessments (HRAs) per year: Includes Lipid panel (Cholesterol), HbA1c, fasting glucose, height, weight, waist circumference and kidney function tests.
(2) Professional services: Regular primary care visits to include a foot exam (for those with an HbA1c of 6.5% or higher), one follow-up doctor's visit and a comprehensive eye exam with an optometrist or opthamologist.
(3) Individual appointments with a Dietitian or Pharmacist: Depending on HbA1c at the time of the initial Health Risk Assessment (HRA), Diabetic members of the DHP will be required to see a Dietitian and/or Pharmacist quarterly or monthly. To schedule an appointment, contact Dee at 667.5183.
(4) DHP Program Classes: Participants will be required to attend diabetes educational sessions. See the 2015 Diabetes Health Plan Classes web page for more details.
What are the Diabetes Health Plan benefits?
In exchange for meeting your health action requirements, you will receive these benefits:
- $0 co-pay for diabetes or pre-diabetes related visits to your primary care provider and specialist
- $0 co-pay for selected diabetes-related medications and supplies
- Wellness programs to help you manage your condition
- Access to educational resources and diabetes-related research on the DHP website
- Reminders for essential screenings and exams
- Support from a team of professionals at NHRMC and BlueCross BlueShield of North Carolina (BCBSNC)