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Does My Insurance Cover Diabetes Education Does My Insurance Cover Diabetes Education? Probably! But it is crucial to your financial and physical health that you determine how your health insurance coverage pays prior to service. Education is vital for good diabetes management. We strongly encourage all people with diabetes to become very familiar with their insurance coverage for diabetes education. First, you may have benefits you don't know about and aren't using! On the other hand, you may have limits to your diabetic education coverage and need to design your diabetes education management plan accordingly. Here at the Diabetes Education Center of the Midlands, we are happy to help guide you through the process of checking your insurance benefits for diabetes education. However, it must be your priority and your responsibility to understand your own insurance plan! Here are some easy tips onhow to best approach your insurance provider for an estimate* of your diabetes education benefits.
That's it! With these simple steps you will get an understanding of your health benefits for diabetes education! You must know how your health insurance will assist you in your diabetes management. So save yourself headaches and financial surprises and contact your insurance representative for an estimate* of your benefitstoday! (Don't forget a pen and paper!) COMMON INSURANCE TERMS YOU SHOULD KNOW deductible- An insurance deductible is the minimum amount the patient must pay before the insurance company will pay anything toward charges. Know whether or not you have a yearly deductible. If so, when does it reset? Do you have any fourth quarter carryover (ie payment toward deductible from the final quarter of the year prior?) coinsurance- This simply is the percentage amount you are required to pay towards your health insurance bill when you file a health insurance claim. The coinsurance percentage is usually in addition to the deductible that would need to be paid first before the insurance company would pay anything. Common coinsurance amounts are 80/20 or 90/10 (the company pays 80 percent and you pay 20 percent) but can vary widely by individual plan. copayment- While a copay is essentially the same thing as coinsurance in that it is the capped contribution an individual must make for a medical service, many people think of a copayment only as the fixed amount they pay per visits with a doctor or specialist. For example, say you pay say $20 to see your doctor, the insurance company will pay the remainder. coinsurance max- The maximum coinsurance you pay before a health plan begins paying at 100% of your covered medical expenses. This is generally a calendar year maximum and common coinsurance maximus are $2000.00, $2,5000 and higher. Again, know the details of YOUR PLAN! limits- Simply, any limitation or exclusion to your health care coverage. It is wise to know your limits, if any! precertification or preauthorization-Services that must be coordinated and approved by your healthcare management program to be fully covered by your plan. To avoid a reduction or denial of benefits, members must precertify. Know if your plan requires preauthorization for ANY service. *Insurance providers are very careful to state that the benefits estimate they provide is only an estimate and actual coverage cannot be determined until a claim is filed. Nationally Recognized Four Day Session Nationally Recognized Four Day Session COMPREHENSIVE TREATMENT AND TRAINING PROGRAM 2010 DATES January 11-14, 2010 4:00-8:30 PM February 8-11, 2010 4:00-8:30 PM March 1-4, 2010 1:00-5:30 PM March 22-25, 2010 4:00-8:30 PM April 19-22, 2010 4:00-8:30 PM May 10-13, 2010 1:00-5:30 PM June 1-4, 2010 4:00-8:30 PM June 28-July 1, 2010 4:00-8:30 PM July 19-22, 2010 1:00-5:30 PM August 16-19, 2010 4:00-8:30 PM September 7-10, 2010 1:00-5:30 PM (Tuesday-Friday) September 27-30, 2010 4:00-8:30 PM October 25-28, 2010 1:00-5:30 PM November 15-18, 2010 4:00-8:30 PM December 13-16, 2010 1:00-5:30 PM For more information and to receive an approximate cost with your insurance coverage: Please contact Annie at (402) 399-0777 ext 230 -email annie.n@diabetes-education.com You must register to attend! A four-day, in-depth course focusing on treatment and management methods to promote health for those taking insulin as well as Type 2 individuals struggling on oral medications.
Sample Schedule Comprehensive Treatment & Training Program All lectures and interviews are conducted by physicians, diabetes nurse educators, registered dietitians, and an exercise physiologist. This program includes individual medical management with a physician specializing in diabetes care and certified diabetes educations (RN & RD). Day 1
Day 2
Day 3
Day 4
8 HOUR BASICS SKILLS CLASS 2010 DATES
For more information and to receive an approximate cost with your insurance: Please contact Annie at (402) 399-0777 ext. 230 - email annie.n@diabetes-education.com You must register to attend! Session 1 (4 hours):
Topics To Be Discussed:
Participants are eligible to receive a Free Blood Glucose Meter & Training! Many insurance plans may cover the cost of the class. You must register to attend, call 399-0777 ext. 230 for details A program designed for those who are at-risk of developing diabetes or are interested in weight loss. Each three-session program will focus on preventing Type 2 diabetes. 2009 Pre-Diabetes Class Dates
Cost of 3-session program: $45 What You Will Learn For more information, please call Annie at 399-0777 ext. 230 - email annie.n@diabetes-education.com "Living Well With Diabetes" - Free Educational Support Group
For directions and more information, contact Elliot Brown at (402) 399-0777 or e-mail at ebb75@cox.net ALSO There is a new group to join if you're 18 and have Type I Diabetes!
Contact: Joan Nguyen (pronounced Joanne Win) at (402) 312-5782 (call or text) or email at joan_bug@hotmail.com (subject Type I). Also bring a friend! One-to-One Services The following is provided by a Registered Nurse nationally certified as a diabetes educator:
The following is provided by a Registered Dietitian nationally certified as a diabetes educator:
Insulin Pump Initiation Certified Pump Trainers will take you through pre-pump education, starting you on your pump and following up to assure a successful experience. For details about pump education education program call (402) 399-0777. Weight Management Consult An individual consultation with a registered dietitian devoted to assisting individuals in weight reduction through personalized intervention. Community Resource Center Housed in DECM, the resource center will provide up-to-date educational materials, pamphlets, videos, computer links and blood glucose downloading capabilities to serve the entire community. A lending library and equipment loan program will also be available. Quarterly Newsletter With a mailing list of over 7,000 DECM Newsletters address current issues and management topics.
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Diabetes Education Center of the Midlands
info@diabetes-education.com
2910 South 84th St.
Omaha, NE 68124
1-800-779-3374
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