Talk with your doctor about the following things you can do to manage your diabetes and avoid other problems that could harm your health.

• Learn why knowing your blood glucose levels is so important. Managing your blood sugar is one of the most important things to staying healthy. Both low and high blood sugar levels are dangerous for people with diabetes. Learn more about managing your glucose levels here.
• Check your blood sugar regularly and keep a diary. Self-test regularly at home with finger pricks and have an A1C test in your doctor’s office at least every three to four months.
• Make healthy decisions at every meal. Fill your plate with a variety of natural foods. Avoid processed foods and limit the amount of alcohol you drink. Click here to learn more diet and nutrition tips. Medicare also covers a medical nutrition therapy benefit for people with diabetes. This allows you to meet with a registered dietician for assistance with your diet. If you want to meet with a dietician, ask your doctor for a referral. Click here for more information.
• If your doctor prescribes medication, take it as prescribed—even if you’re feeling good. Click here to learn more about medications for diabetes.
• Be physically active. Get at least 30 minutes of activity five times a week. Physical activity can even include walking, talking the stairs or gardening. Click here to learn more about diabetes and exercise.
• Quit smoking. Smoking is more dangerous for people with diabetes. Click here to learn more about the impact smoking has on people living with diabetes.
• Take care of your mental health. Older adults with diabetes are more likely to become depressed and develop dementia.² Click here to learn more about diabetes and mental health.
• Ensure your feet are in good shape. You should check your feet every day and consider keeping a log. Be on the lookout for changes to your skin and nails as well as redness, swelling, cuts and sores, blisters, corns, and calluses. Plus, you should have a podiatrist or foot specialist examine your feet at least once a year. Click here for more about keeping your feet healthy.
• Keep a log of your injection sites. If you are injecting insulin, it is important to remember to rotate your injection sites, and a good way to do that is to keep log. Here is more information on choosing and rotating injection sites.
• Take care of your kidneys. Talk to your doctor about have regular urine tests to check for proteins, and blood tests to find out how well your kidneys are working. On your own you can help your kidneys stay healthy by cutting back on salt and limiting your alcohol use. Here are other ideas about preventing kidney problems.

² https://diabetesjournals.org/care/article/35/12/2650/38582/Diabetes-in-Older-Adults

These diabetic supplies are preferred products covered by your SCAN plan and don’t require prior authorization. Have your doctor send in a prescription to your pharmacy for one of these products covered by your SCAN plan.

Glucose Monitors

Manufacturer: Abbott

• FreeStyle Freedom Lite Monitor
• FreeStyle Lite Meter
• FreeStyle Precision Neo Meter
• Precision Xtra Monitor
• FreeStyle Insulinx Glucose System

Test Strips

Manufacturer: Abbott

• FreeStyle Test Strip
• FreeStyle Lite Test Strip
• Precision Ketone Test Strip
• Precision Glucose Test Strip
• FreeStyle Insulinx Test Strip

Lancets

All products by any manufacturer.

Unlike CGMs, insulin delivery devices are not considered durable medical equipment (DME). Instead, they are covered through your pharmacy benefit. That means you will need a prescription from your doctor and will get these devices through your pharmacy.

Insulin delivery devices covered by your SCAN plan include:

• Insulin Pen Needles
• Insulin Syringes
• V-Go
• Omni-pod

NOTE: Traditional insulin pumps are covered under your durable medical equipment (DME) benefit. As with a continuous glucose monitor (CGM), your doctor must submit an authorization request to your medical group. If approved, their DME company will send your insulin pump supplies directly to you.

Surprisingly, one out of four people with diabetes doesn’t know he or she has it! Some 88 million Americans (more than one out of three) have prediabetes.³ This is when blood sugar levels are higher than normal but not high enough to be diagnosed with type 2 diabetes. Prediabetes is serious and puts you at increased risk of developing type 2 diabetes, heart disease and stroke.

If you’re experiencing symptoms—such as dizziness, blurred vision, dry mouth or having to visit the bathroom often—ask your doctor as soon as possible for a blood test to check for diabetes.

Find out more about your risk of developing type 2 diabetes here.

³ https://www.cdc.gov/diabetes/basics/prediabetes.html

These online services can give you information and tools that can help you manage your diabetes. You will also be able to talk to other people with diabetes. Talk to your doctor about classes or support groups they might be able to refer you to. 

Programs and Classes

SCAN offers you our Living Well with Diabetes online workshop. For more information email us at: livingwell@scanhealthplan.com or call 1-800-388-4945 

Support Services

American Diabetes Association—you can also call them at 1-800-DIABETES (1-800-342-2383)

Association of Diabetes Care & Education Specialists

American Diabetes Association

Diabetes Daily

Know Diabetes by Heart

TuDiabetes

Educational Events

The American Diabetes Association offers free educational Ask the Experts Q&A series—click here or call 1-855-565-0595 for more information.

Miscellaneous 

American Diabetes Association “In It Together” Podcast 

Centers for Disease Control and Prevention fact sheets

Helping Older Family Members Become More Active

A CGM is covered if you:

• Have diabetes; AND
• Had a visit within the last 6 months with your doctor; AND
• Are using insulin OR have a history of problems with low blood sugar

These are the preferred CGMs covered by SCAN:

Manufacturer: Abbott

• Libre 14-Day
• Libre 2
• Libre 3

Manufacturer: Dexcom

• Dexcom G5
• Dexcom G6

The following are non-preferred CGMs:

Manufacturer: Medtronic

• Minimed 630G, 670G, 770G
• Guardian Sensor 3, 3Kit, Transmitter 3, Transmitter 3 Kit
• Enlite Sensor, Sensor Kit

If you require a non-preferred CGM, your provider will need to submit additional information as to why a preferred CGM cannot be used.

1. Ask your doctor to submit an authorization to Express Scripts. Once your authorization is approved, you will be able to pick up your CGM supplies directly from an in-network pharmacy. (Find an in-network pharmacy near you using SCAN’s Pharmacy Search Tool)

   To start your CGM authorization request, your doctor should contact Express Scripts (ESI):

   • By phone: 1-844-424-8886, 24 hours a day, 7 days a week, TTY users: 1-800-716-3231
   • By fax: 1-877-251-5896 (Attention: Medicare Reviews)
   • Electronically: Through the EPA portal
2. Ask your doctor to submit an authorization to your medical group. Once your authorization is approved, your CGM will be sent to your home directly from the DME company that works with your medical group. The DME company will contact you for shipping information and any copay.

Please call SCAN Member Services if you have any questions. The number is on the back of your member ID card.

Generally, your doctor will need to send:

1. Documentation showing that you meet the coverage requirements to use CGM supplies (see “Will SCAN cover my CGM?” above)
2. A prescription for your CGM supplies
3. Documentation showing your diabetes is being managed by your doctor at least every 6 months

Your medical group may ask for more information.