Covered Diabetic Supplies for Colorado
Colorado Option plans provide coverage of diabetic supplies at $0 cost-sharing and are not subject to a deductible, copayments, or coinsurance
Continuous Glucose Monitors and Components
Covered by Medical and Pharmacy Benefits
Product |
Coverage Type |
|---|---|
|
Dexcom G6 Products
Dexcom G7 Products
Freestyle Libre Products |
Pharmacy |
|
Eversense 365 CGM System
Eversense E3 CGM System
Guardian Connect CGM System
Simplera CGM
Medtronic Guardian Connect |
Medical |
Product |
|---|
|
Dexcom G6 Products
Dexcom G7 Products
Freestyle Libre Products |
|
Eversense 365 CGM System
Eversense E3 CGM System
Guardian Connect CGM System
Simplera CGM
Medtronic Guardian Connect |
Coverage Type |
|---|
|
Pharmacy |
|
Medical |
This list may not be all-inclusive or cover all available products.
Insulin Pumps
Covered by Medical and Pharmacy Benefits
Product |
Coverage Type |
|---|---|
|
Amigo Insulin Pump
MiniMed 630G System
Medtronic MiniMed 670G
MiniMed 770G
MiniMed 780G |
Medical |
|
OmniPod 5
OmniPod Dash |
Pharmacy |
|
Tandem t:slim X2, V-Go
FreeStyle Insulin Infusion Systems
iLet ACE Pump
iLet Dosing Decision Software |
Medical |
Product |
|---|
|
Amigo Insulin Pump
MiniMed 630G System
Medtronic MiniMed 670G
MiniMed 770G
MiniMed 780G |
|
OmniPod 5
OmniPod Dash |
|
Tandem t:slim X2, V-Go
FreeStyle Insulin Infusion Systems
iLet ACE Pump
iLet Dosing Decision Software |
Coverage Type |
|---|
|
Medical |
|
Pharmacy |
|
Medical |
This list may not be all-inclusive or cover all available products.
Blood Glucose Monitors and Test Strips
Covered by Medical and Pharmacy Benefits
Product |
Coverage Type |
|---|---|
|
Accu-Chek Aviva Plus glucometer
Accu-Chek Aviva Plus glucose test strips
Accu-Chek Guide glucometer
Accu-Chek Guide glucose test strips
Accu-Check Guide Me glucometer
Accu-Chek Smartview glucometer
Accu-Chek Smartview glucose test strips |
Pharmacy |
Product |
|---|
|
Accu-Chek Aviva Plus glucometer
Accu-Chek Aviva Plus glucose test strips
Accu-Chek Guide glucometer
Accu-Chek Guide glucose test strips
Accu-Check Guide Me glucometer
Accu-Chek Smartview glucometer
Accu-Chek Smartview glucose test strips |
Coverage Type |
|---|
|
Pharmacy |
Lancets/Syringes/Needles
Covered by Medical and Pharmacy Benefits
Product |
Coverage Type |
|---|---|
|
Lancets
Lancing devices
Insulin syringes
Insulin pen needles |
Pharmacy |
Product |
|---|
|
Lancets
Lancing devices
Insulin syringes
Insulin pen needles |
Coverage Type |
|---|
|
Pharmacy |
Other Diabetic Supplies
Covered by Pharmacy Benefits
Product |
Coverage Type |
|---|---|
|
Alcohol swabs
Glucose urine test strips
Ketone test strips |
Pharmacy |
Product |
|---|
|
Alcohol swabs
Glucose urine test strips
Ketone test strips |
Coverage Type |
|---|
|
Pharmacy |
Where can I learn more about Prescription Drug benefits?
To learn more about a product on this list, check your Prescription Drug List for tier information, coverage rules, and any limits (such as quantity limits).
To find an in-network pharmacy, check the Provider Directory. Have your pharmacy submit a claim to CarelonRx to process the claim under your pharmacy benefit.
Where can I learn more about Durable Medical Equipment (DME) products?
To learn more about specific Durable Medical Equipment (DME) products covered through your medical benefit, please reach out to one of our DME Providers to obtain information about products available to you:
DME Providers |
Phone Number |
Website |
|---|---|---|
|
Byram Healthcare |
||
|
Medtronic Diabetes |
||
|
Tandem Diabetes Care |
||
|
Edgepark Medical Supplies |
||
|
Home Medical Supplies |
Phone Number |
|
|---|---|
DME Providers |
|
|
Byram Healthcare |
|
|
Medtronic Diabetes |
|
|
Tandem Diabetes Care |
|
|
Edgepark Medical Supplies |
|
|
Home Medical Supplies |
|
Website |
|
|---|---|
DME Providers |
|
|
Byram Healthcare |
|
|
Medtronic Diabetes |
|
|
Tandem Diabetes Care |
|
|
Edgepark Medical Supplies |
|
|
Home Medical Supplies |
|
Prior Authorization
What if my diabetic supplies require prior authorization?
If your plan requires prior authorization for a diabetic supply, your healthcare provider (doctor, nurse practitioner, etc.) will give us information about your diagnosis, treatment history and other relevant information to request prior authorization. If the prior authorization request is approved, you will pay a $0 cost share, not subject to a deductible.
How to request prior authorization for diabetic supplies
- Pharmacy Benefit: Please contact CarelonRx by calling 833-293-0659 or submit an online prior authorization request at CoverMyMeds.
- Medical Benefit: Please submit an online prior authorization request through the provider portal.
