Diabetes Treatment. Coverage is provided for the following when required in connection with the treatment of diabetes and when prescribed by a Physician legally authorized to prescribe such items under the law:
1. Equipment and Supplies
Diabetes Treatment. A. Coverage will be provided for Medically Necessary diabetes treatment and outpatient self-management training and educational services, including medical nutritional counseling at a CareFirst BlueChoice approved facility. Diabetic Supplies are covered under Section 12 herein. Diabetic equipment is covered under Section 11 herein.
B. The services must be Medically Necessary as determined by CareFirst BlueChoice for the treatment of diabetes (Types I and II), or elevated blood glucose levels induced by pregnancy.
C. In-person, outpatient self-management training and educational services, including medical nutritional therapy, shall be provided through an in-person program provided by an appropriately licensed, registered, or certified CareFirst BlueChoice-approved facility or health care provider whose scope of practice includes diabetes education or management.
Diabetes Treatment. A. Coverage will be provided for Medically Necessary diabetes treatment and outpatient self-management training and educational services, including medical nutritional counseling at a CareFirst approved facility. Diabetic Supplies are covered under Section 12 herein. Diabetic equipment is covered under Section 11 herein.
B. The services must be Medically Necessary as determined by CareFirst for the treatment of diabetes (Types I and II), or elevated blood glucose levels induced by pregnancy.
C. In-person, outpatient self-management training and educational services, including medical nutritional therapy, shall be provided through an in-person program provided by an appropriately licensed, registered, or certified CareFirst-approved facility or health care provider whose scope of practice includes diabetes education or management.
Diabetes Treatment. We will provide benefits for equipment, supplies, and outpatient self-management training and education, including medical nutrition therapy, for the treatment of insulin-dependent diabetes, insulin-using diabetes, gestational diabetes, and non-insulin using diabetes if such equipment, supplies and training are prescribed by a licensed, participating health care professional legally authorized to prescribe such items. We will provide benefits for the self- management training and education, including medical nutrition therapy, described above only if provided by a participating certified, registered, or licensed health care professional with specialized training in the education and management of diabetes. You must pay the Cost Share for prescription drugs set forth on your Schedule for diabetic equipment and supplies. Diabetic treatment services are subject to your medical benefit cost share in your Schedule.
Diabetes Treatment. Treatment, education for outpatient self-management, and equipment and supplies are covered when
1. Diabetic daycare self-management and education programs, provided by appropriately licensed participating Health Care Professionals. Training shall include self-management training, education, and medical nutrition therapy necessary to enable Members to properly use the equipment, supplies, and medications prescribed or referred by the Member’s Participating Provider.
2. Diabetic equipment, supplies and medications:
a. Insulin,
b. Prescriptive medications for the treatment of diabetes,
c. Glucagon,
d. Blood glucose monitors and blood glucose testing strips,
e. Blood glucose monitors designed to assist the visually impaired,
f. Insulin pumps and all related necessary supplies,
g. Ketone urine testing strips,
h. Lancets and lancet puncture devices,
i. Pen delivery systems for the administration of insulin,
j. Podiatric devices to prevent or treat diabetes-related complications,
k. Insulin syringes,
l. Visual aids, excluding eyewear, to assist the visually impaired with proper dosing of insulin. If coverage under this EOC includes a Prescription Drug Rider, the medications and supplies listed in the Prescription Drug Rider will be covered under the Prescription Drug Rider. Copayments for these medications and supplies are shown on the Prescription Drug Rider.
Diabetes Treatment. A. Coverage will be provided for Medically Necessary diabetes treatment and outpatient self-management training and educational services, including medical nutritional counseling at a CareFirst BlueChoice-approved facility. Diabetic equipment and Diabetic Supplies are covered under the Medical Devices and Supplies Section within the Description of Covered Services. Diabetic Supplies are also covered under the Prescription Drug Section within the Description of Covered Services.
B. The services must be Medically Necessary as determined by CareFirst BlueChoice for the treatment of diabetes (Types I and II), elevated or impaired blood glucose levels induced by pregnancy.
C. Outpatient self-management training and educational services, including medical nutritional therapy, shall be provided through a program provided by an appropriately licensed, registered, or certified CareFirst BlueChoice approved facility or health care provider whose scope of practice includes diabetes education or management.
