Journey to manage a diabetes diagnosis
2 min. read
Brian, a HealthSelect of Texas® medical plan participant, was diagnosed with prediabetes when an A1c test during his annual wellness exam showed a higher-than-normal blood sugar level. His primary care provider (PCP) told him that with diet and exercise, he might be able to return his blood sugar level to a normal range and avoid developing Type 2 diabetes.
Brian made minor changes to his diet, but his busy schedule made it difficult for him to exercise regularly. Unfortunately, Brian’s blood sugar level continued to rise. The next year at his annual exam, another A1c test confirmed that Brian had developed Type 2 diabetes. His doctor prescribed medication and advised him to start checking his blood sugar levels before meals using a finger prick needle called a lancet, test strips and a blood sugar meter.
Brian’s new diagnosis prompted him to find out how his medical benefits would help him manage his condition. He learned his benefits cover training on how to use his diabetes equipment and supplies, as well as, nutritional counseling provided by licensed professionals, if ordered by his PCP. Brian also learned that his HealthSelect plan includes access to Blue Cross and Blue Shield of Texas (BCBSTX) care management clinicians at no extra cost.
Brian spoke to a clinician about his diagnosis. The clinician answered his questions, provided resources to help him manage his condition and offered suggestions to help him follow his treatment plan. At the clinician’s recommendation, Brian also signed up for a weight management program at no extra charge for added support for losing weight and eating healthfully.
Diabetic supplies benefits
As a HealthSelectSM medical plan participant, you can get diabetic supplies, including test strips and lancets, at the pharmacy through your HealthSelect Prescription Drug Program (PDP) with a valid prescription from your health care provider. Insulin and oral medications for controlling blood sugar are also covered under the HealthSelect PDP. Check with the PDP to see if your supplies are covered at no cost or if a copay applies.
Whether you have prediabetes or diabetes, a BCBSTX clinician can answer questions and share health and wellness resources. Call toll-free at (800) 252-8039 (TTY: 711) between 8 a.m. and 6:30 p.m. CT, Monday – Friday, and ask to speak with a clinician.
Benefits questions?
If you have benefits or coverage questions, BCBSTX Personal Health Assistants are available by phone toll-free at (800) 252-8039 (TTY: 711), Monday-Friday, 7 a.m. – 7 p.m. CT. and Saturday, 7 a.m. – 3 p.m. CT. You can also communicate via secure chat and secure messaging Monday-Friday, 8 a.m. – 5 p.m., after logging into Blue Access for MembersSM.