Insulin Pumps and Glucose Monitor Coverage Expanded to Prescription Drug Benefit

Traditional insulin pumps and continuous glucose monitors, as well as related supplies, are now covered under the NRECA Medical Plan’s prescription drug benefit, as well as the medical benefit. Previously, the devices were covered only under the medical benefit. Participants can now get these devices through a durable medical equipment supplier under the medical benefit, as they did previously, or through a pharmacy under the prescription drug benefit.

Diabetic devices covered by the plan* include:

Under the prescription drug benefit:

• Traditional insulin pumps are covered without prior authorization for medical necessity.
• Prior authorization is required for continuous glucose monitors and disposable insulin pumps.
• Providers should call the CVS Caremark Prior Authorization Department at 855.240.0536.

Glucometers Available at No Additional Cost
Accu-Check and One Touch glucometers are also available at no additional cost through the CVS Caremark Diabetic Meter Program. Participants can call 877.418.4746 from 8 a.m. to 6 p.m. Central time, Monday through Friday, to request a new device.** They can also visit info.caremark.com/dig/managingdiabetes.

**A prescription for test strips at a retail or mail pharmacy is required to receive a complimentary glucometer.

Notification
A letter is being mailed to affected participants in the medical plan to inform them of this expanded coverage. There is no action affected participants need to take, but they can take advantage of this new coverage the next time they purchase traditional insulin pumps or continuous glucose monitors.

If participants have questions about medical coverage, they can contact the Member Contact Center at 866.673.2299 or contactcenter@nreca.coop. For questions about prescription drug coverage, individuals can call CVS Caremark Customer Care at 888.796.7322, or use Manage Your Prescriptions on the Employee Benefits website.