Health & Security Plan > SPD > Diabetic Care – 90%

Summary Plan Description

Diabetic Care—90%

Benefits are provided for an approved diabetic training program prescribed by a physician, including education, training, meal planning (although not the cost of meals), and treatment and prevention of hyperglycemia or hypoglycemia. Coverage is also provided for diabetic supplies including injection aids and blood glucose monitors. If your physician prescribes a home blood glucose monitor, you may purchase the monitor from a pharmacist and submit the pharmacy receipt with the completed claim form to the Trust Office. Home blood glucose monitors cannot be processed through either of the two prescription drug programs.

Key Point

If you are diabetic and not eligible for Medicare, you must purchase insulin, syringes, blood glucose testing strips, and lancets through either of the two prescription drug programs—the Medco Health Retail Pharmacy Program or Medco By Mail. Prescriptive agents for controlling blood sugar levels must also be purchased through one of the two prescription drug programs. If you purchase these items from a nonparticipating pharmacy or other diabetic supplier, you must pay full retail price and submit a Prescription Drug Reimbursement Form to Medco Health. Medco Health will reimburse you at 100 percent of the "average wholesale price"—the program's discounted price—less the appropriate copayment.