Around 1 in 10 Americans have diabetes, while 1 in 3 have prediabetes. As it’s a prominent disease in this country, health insurance plans cover prescription drugs and treatments.
It’s easy to get access to health insurance aid. The hard part comes from choosing the best plan for you.
Insurance for diabetes has many intricacies that you must review before getting coverage. To learn more about coverages and costs, keep on reading below.
Learn Where to Get Insurance
Health insurance for diabetes is available through Medicare or Medicaid. You can also browse the marketplace and look for private providers.
If you’re working, your employer can provide you with insurance, as well. Your spouse or domestic partner may also get you one through theirs.
Depending on your choice, you must wait for the annual open enrollment period to sign up. You may qualify for the exclusive enrollment period as a policyholder.
Some Medicare and Medicaid programs are available throughout the year. These depend on your age and financial situation; check the requirements as they vary in each state.
Check the Coverage
Having diabetes means you have to rely on a series of treatments, medications, and supplies to live a healthy life. As such, you have to review these parts of the plan before signing on.
What’s the prescription drug coverage? Does it cover medications like Janumet XR?
Including coverage of diabetes supplies, some other things you should review are:
- Diabetes medications
- Diabetes-related services
- Counseling or preventive care services
Note that the definitions may vary from provider to provider. Look up the different sections, particularly labs, medical equipment, and so on. You may have to ask the agent for an extensive list as not all information may be available.
Look Into the Insurance Network
Choosing a doctor is a personal decision as you can only stay with your preferred option. However, your choice may affect the total costs of your healthcare.
Health insurance plans have contracts with doctors and facilities. You may have to stick to this network or pay out-of-pocket for an out-of-network provider.
It can be a problem if you already have a comfortable relationship with a doctor. Check first if they’re a part of the insurance plan’s network you’re considering.
Review the Total Costs
Know that insurance for people with pre-existing conditions is more expensive. Choosing a plan is a balancing act between your monthly premium and out-of-pocket costs.
When reviewing your total costs, consider the prescription medicines and medical services you have to get regularly. Would you pay more for them via co-pays, deductibles, and co-insurance? Otherwise, you will spend more on your monthly premium.
Learn More About Insurance for Diabetes
Looking for the right insurance for diabetes is grueling, but it’s worth the effort in the end. Review different plans and compare coverages as well as costs. The best plan for you helps manage this disease more efficiently, reducing mental and financial stress.
Did you find this guide helpful? Then check out our other posts for more sage advice.