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Cost
Reduction Act |
To
find out if your insurance company is affected by this
act you need to call them. Note: it will take the insurance
companies some time to establish reimbursement policies
for diabetes related items/services.
When
you call, first, asked them if they are regulated by the
State of Michigan.
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If
they say "NO" then there is nothing more
you can do. This Cost Reduction Act applies only to
insurance companies regulated by the State of Michigan.
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If
they say "YES"
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| Here
is a list of some of the items that could
be covered under this act: |
Here
is a list of some of the diabetes services that are covered under this act: |
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Prescriptions
for insulin and/or oral medicine for diabetes
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Physician
Education Services |
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Blood
Glucose Testing Supplies, such as monitors,
lancet devices, blood testing strips, urine
testing strips. |
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Diabetes
Classes |
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Syringes
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Insulin
pumps and supplies |
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Medicine
for treating foot and ankle problems
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Equipment
for the blind, hearing, or dexterity impaired.
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Once
you have established what your insurance company will
cover :
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Ask
them how you should submit claims for payment for
diabetes supplies and services.
For example, do you need to:
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Get
a prescription from the doctor ? or
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|
Get
special forms from your insurance company for
the doctor to complete? |
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|
Ask
your insurance company if and how your specific policy
will be affected.
For example do you still have to pay:
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a
deductible, if applicable? or
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a
co-pay, if applicable? |
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Ask
any other specific questions you may have regarding
coverage. |
If
your State of Michigan regulated insurance company does
not comply with this legislation after April 1, 2001.
(Note, once again, they may not have all their procedures
in place for what they cover or how much will be reimbursed
by April 1st.)
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Please
notify the State Insurance Commissioner, Frank M.
Fitzgerald, toll-free at 1-877-999-6442. |
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You
may also be asked to notify them in writing at:
Michigan Division of Insurance
PO Box 30220
Lansing, MI 48909-7720. |
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Also
notify the American Diabetes Association, Michigan
Office, at their toll-free number 1-888-342-2383.
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