AI Content Chat (Beta) logo

Medical Insulin pumps and pump supplies are covered as durable medical equipment (DME). See page 50 for coverage of insulin pumps and related supplies. Prescription drug Diabetes care supplies listed below are only covered under your plan’s prescription drug benefit: • Insulin syringes • Lancets • Test strips • 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. For questions, contact WSRxS Customer Service. 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 (see Directory for link and contact information). For more information, see “Exceptions covered" on page 91. Diabetes Control Program TIP: The Diabetes Control Program is not subject to your 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; 2024 UMP CDHP (PEBB) Certificate of Coverage 47

UMP Consumer-Directed Health Plan (CDHP) COC (2024) - Page 48 UMP Consumer-Directed Health Plan (CDHP) COC (2024) Page 47 Page 49