• Continuous glucose monitors To be covered, you must get a written prescription for these supplies and purchase them from a pharmacy. Limits, such as quantity limits or preauthorization, may apply. To find out the tier of a diabetes care supply, check the UMP Preferred Drug List online by visiting the UMP Prescription drug coverage webpage or contact WSRxS Customer Service (see Directory for link and contact information). You save money and avoid having to submit your own claims when you purchase these diabetes care supplies from a WSRxS network pharmacy. Locate a network pharmacy by visiting the UMP Prescription drug coverage webpage or contact WSRxS Customer Service. For more information, see “Exceptions covered” on page 91. Diabetes Control Program TIP: The Diabetes Control Program is not subject to your medical deductible and is offered at no additional cost for UMP (non-Medicare) members age 18 or older. For non-Medicare members age 18 or older with a diagnosis of diabetes, the plan offers the Diabetes Control Program administered by the Care Management Program at Regence. Case managers are trained to help you reduce the risk of complications of diabetes by tracking and controlling blood sugar, cholesterol levels, blood pressure, and weight in a series of quarterly consultations. The plan offers the Diabetes Control Program at no additional cost to members. You may find out if you have diabetes by visiting your primary care provider for a blood sugar laboratory test. If you qualify for the Diabetes Control Program, you may self-refer by calling Regence at 1-866-543- 5765 (TRS: 711). Diabetes education The plan covers diabetes self-management training and education, including nutritional therapy by registered dieticians. When diabetes education includes nutritional therapy, the nutritional therapy services are not subject to the 12-visit lifetime limit stated under “Nutrition counseling and therapy” on page 62. Diabetes Prevention Program (DPP) You may be eligible for DPP if: • You are not a Medicare member; • You are age 18 and older; • Your provider ordered a blood sugar test in the last 12 months; and • Laboratory results showed you are in the prediabetes range DPP provides access to a virtual (online) program through Omada Health. You may take an online screening questionnaire to see if you meet the program’s criteria by visiting the DPP website at go.omadahealth.com/wapebb, creating an account, and signing in. If you meet the criteria, you may participate in the program at no cost to you. The virtual program includes a professional health coach, a wireless scale, and weekly online classes with a small group of participants who provide real-time support. You may also contact UMP Customer Service for more information. 46 2024 UMP Classic (PEBB) Certificate of Coverage