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​Diabetes Benefits

  

Diabetes Self-Management Education and Support (DSMES)

Diabetes Self-Management Education and Support (DSMES) is a proven way, if you have diabetes, to learn the many things you need to know to help manage your condition. If you have diabetes, DSMES classes are covered under your health insurance plan, su​bject to any applicable deductible, co-pay, and co-insurance. These classes provide education on the disease and how it affects your body including how and why changes in physical activity and eating habits are necessary. Education is key for making lifestyle changes. Evidence shows that DSMES provides the best chance of helping people make needed changes. Talk to your doctor today about attending these classes. 

Diabetes Prevention Program (DPP)

If you meet the criteria of pre-diabetes, you may attend DPP classes. These classes help lower your risk of developing Type 2 Diabetes. You may participate in an approved DPP for free, and you can learn how to improve your health through stress reduction, weight loss, and increased physical activity with the support of a certified lifestyle instructor. This proven and successful 16–week course meets once per week for one hour. After 16 sessions, you will receive at least six monthly follow–up sessions to help you stay motivated and maintain a healthy lifestyle. If you enroll in and attend DPP classes, you will receive 350 Go365 Points. Let your lifestyle coach know you are a participating Go365 member to ensure you will be awarded your Go365 Points.  The KEHP DPP brochure provides more information on the benefits available.

To find a DPP class location in your area please click here.

How to Get Started

    1. Find out if you are at risk! Centers for Disease Control Diabetes Prevention Program website helps you know if you are at risk. Only seven questions, and no name or identifiable health plan information required. Results are anonymous and confidential. Take the quiz.
    2. Call Anthem's Personal Health Consultants at 844.402.KEHP (5347), also noted on the back of your health insurance card.

Additional Resources

For more information on benefits available for members with diabetes, contact Anthem at 844.402.KEHP (5347).

The Centers for Disease Control (CDC) has a website devoted to the Diabetes Prevention Program which has many additional valuable resources. 

Diabetes Value Benefit

Diabetic members will pay a reduced co-pay and co-insurance, with no deductibles, for most all of their maintenance diabetic   prescriptions and supplies. Click here to learn more.

Your health and wellness are important to us. In 2015, we implemented the Diabetes Value Benefit and we have seen greater numbers of members with diabetes take their medications regularly. We have also seen members reduce their need for other medications because getting diabetes under control improves their overall health. Emergency room visits and hospital stays for these members have also decreased as members keep their diabetes in control.

Based on that success, we are adding COPD (chronic obstructive pulmonary disease) and asthma to the Value Benefit program.

Diabetes, COPD, and asthma are serious conditions that may have serious complications. The KEHP continuously monitors the costs of these and other chronic conditions. Helping members control these diseases by reducing their costs has proven to be effective in reducing plan costs.

If you receive maintenance prescriptions or supplies for treatment of these conditions, your pharmacy costs are being reduced!

You will pay a reduced co-pay and/or co-insurance, with NO DEDUCTIBLE, for most maintenance prescriptions or supplies for the treatment of diabetes, COPD, and asthma!

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