So glad you asked! ERS health plans' diabetic supply coverage

February 03, 2021

diabetes statistics 2 out of every 5 Americans are expected to develop type 2 diabetesAt the Employees Retirement System of Texas (ERS), we know managing diabetes is more important than ever during the ongoing pandemic. According to the American Diabetes Association, people with diabetes are more likely to have serious complications from COVID-19—but their risk of getting very sick from COVID-19 is likely to be lower if their diabetes is well-managed. 

During ERS’ benefits webinars, members often ask about diabetes management resources provided under the Texas Employees Group Benefits Program (GBP) health plans and, more specifically, how diabetic supplies are covered.

Every GBP health plan offers resources to manage diabetes. Some plans provide coverage for certain diabetic supplies. Let’s take a look at what each GBP health plan offers as of September 1, 2020.

HealthSelectSM plans, administered by Blue Cross and Blue Shield of Texas (BCBSTX)

  • HealthSelect of Texas® and HealthSelect Out-of-StateSM: You will pay nothing for diabetic supplies such as certain brands of test strips, and lancets and lancing devices under the HealthSelectSM Prescription Drug Program, administered by OptumRx, when you use an in-network pharmacy and present your prescription drug ID card.
  • Consumer Directed HealthSelectSM: Lancets, lancing devices, syringes, pen needles and OneTouch test strips are available at no cost after you meet your annual deductible. 
  • For more information about diabetic supplies coverage, see BCBSTX’s Diabetic Supply Comparison Chart. You can also read this September News About Your Benefits article.
  • For more information specifically about the HealthSelect PDP’s diabetic supply coverage, visit the OptumRx website and click on “Education resources” to view the coverage flyer.

Scott and White Care Plans (SWCP): Call SWCP toll-free at (800) 321-7947, Monday-Friday, 7 a.m. - 7 p.m. CT for details about SWCP’s diabetes management resources. You can also view page 7 on this SWCP benefits chart for more information about SWCP’s coverage of diabetes treatment.

Community First Health Plans (CFHP): The CFHP “Diabetes in Control Program” is available to help you keep diabetes well-managed. Call CFHP toll-free at (877) 698-7032 (TTY: (210) 358-6262), Monday-Friday, 8:30 a.m. - 5 p.m., for more details about the program. 

Health and other insurance benefits for employees and retirees are subject to change.