Diabetes Health Care Plan

Now There's A Health Plan That Zeros In On Diabetes Care

Talk about targeted. Consumers scrolling through the health plan options on the insurance marketplaces in a few states this fall may come upon plans whose name — Leap Diabetes Plans — leaves no doubt about who should apply. Offered by Aetna in four regions, the gold-level plans are tailored for the needs of people with diabetes. They feature $10 copays for the specialists diabetes patients need such as endocrinologists, ophthalmologists and podiatrists, and offer free blood sugar test strips, glucose monitors and other diabetic supplies. A care management program with online tools and coaching helps people manage their condition day-to-day. The plans also offer financial incentives, including a $50 gift card for getting an A1C blood test twice a year to measure blood sugar and a $25 card for hooking up a glucometer or biometric tracker to the Aetna site. "It was a good time to design a product that was a little more personalized, as opposed to generic," says Jeff Brown, vice president of consumer product, network and distribution at Aetna. "We saw diabetes as a compelling need, and a growing need." Aetna is debuting the diabetes plans, effective next year, in four markets: Charlotte, N.C., Phoenix, Ariz., Northern Virginia and southeastern Pennsylvania. The coverage is part of a new Aetna line called leap plans, aimed at helping the insurer build its retail business. The company says the plans are simpler to use than traditional plans and will have more personal customer service. It's unclear whether the diabetes plans are a good buy for people with diabetes. The cut rates for specialist visits only apply if they're related to diabetes care, not for other conditions someone may have. Meanwhile, coverage for medications, which may cost consumers hundreds of dollars e Continue reading >>

Diabetes In Schools The Ihp - A Child's Individual Healthcare Plan

Diabetes in schools the IHP - a child's individual healthcare plan Diabetes in schools the IHP - a child's individual healthcare plan An individual healthcare plan (IHP) details exactly what care a child needs in school, when they need it and who is going to give it. This should be drawn up with input from the child (if appropriate) their parent/carer, their PDSN school nurse and relevant school staff. The IHP can be thought of as a type of written agreement thats drawn up with school, so it needs to be as detailed as possible. Written permission from the parent/carer and the head teacher for insulin to be administered by a member of staff, or self-administered by the child during school hours. Exactly what help the child needs with diabetes management what they can do themself and what they need from somebody else. Details of the insulin needed, the dose needed, when its needed and the procedure for injecting or using a pump. Details of when the child needs to test their blood glucose levels, the procedure for testing them and the action to be taken depending on the result. Description of the symptoms of hypo and hyperglycaemia (and possible triggers) and what staff will do if either of these occurs. It should also include when the parent/carer should be contacted and when an ambulance should be called. Details of when the child needs to eat meals and snacks, what help they need around meal or snack time, eg whether they need to go to the front of the lunch queue, need help with carbohydrate counting or have any other special arrangement around meal/snack time. The things that need to be done before, during or after PE, eg blood glucose testing or having an extra snack. Details of where insulin and other supplies will be stored and who will have access to them. It sho Continue reading >>

How Do You Plan Effective Diabetes Management In The School Setting?

How Do You Plan Effective Diabetes Management in the School Setting? How Do You Plan Effective Diabetes Management in the School Setting? Diabetes Medical Management Plan (Prepared by the Students Personal Diabetes Health Care Team) Individualized Health Care Plan (Prepared by the School Nurse) Emergency Care Plans for Hypoglycemia and Hyperglycemia (Prepared by the School Nurse) Prepare the Students Education Plan (As Needed) Collaboration and cooperation are key elements in planning and implementing successful diabetes management at school. As is true for students with other chronic diseases, students with diabetes are more likely to succeed in school when the students school health team and the students personal diabetes health care team work together. To work collaboratively, a school health team should be assembled that includes people who are knowledgeable about diabetes, the school environment, and Federal and State education and nursing laws. School health team members should include: the student with diabetes, the parents/guardians, the school nurse and other health care personnel, the staff members designated as trained diabetes personnel, administrators, the principal, the 504/IEP coordinator, office staff, the students teacher(s), the school psychologist or guidance counselor, the coach, and lunchroom and other school staff members. The school health team is distinct from the students personal diabetes health care team. Members of this team include: the student with diabetes, the parents/guardians, and the students doctor, nurse, registered dietitian nutritionist, diabetes educator, and other health care providers involved in the students care. The school health team members work together to implement the medical orders in the Diabetes Medical Management Pl Continue reading >>

New Health Plans Offer Discounts For Diabetes Care

New Health Plans Offer Discounts For Diabetes Care Talk about targeted. Consumers scrolling through the health plan options on the insurance marketplaces in a few states this fall may come upon plans whose name Leap Diabetes Plans leaves no doubt about who should apply. Offered by Aetna in four regions next year, the gold-level plans are tailored for the needs of people with diabetes. They feature $10 copays for the specialists diabetics need such as endocrinologists, ophthalmologists and podiatrists, and offer free blood sugar test strips, glucose monitors and other diabetic supplies. A care management program with online tools and coaching helps people manage their condition day-to-day. The plans also offer financial incentives, including a $50 gift card for getting an A1c blood test twice a year to measure blood sugar levels and a $25 card for hooking up a glucometer or biometric tracker to the Aetna site. It was a good time to design a product that was a little more personalized, as opposed to generic, says Jeff Brown, vice president of consumer product, network and distribution at Aetna. We saw diabetes as a compelling need, and a growing need. Aetna is debuting the diabetes plans next year in four markets: Charlotte, N.C., Phoenix, Ariz., Northern Virginia and southeastern Pennsylvania. Its unclear whether the diabetes plans are a good buy for people with diabetes. The cut rates for specialist visits only apply if theyre related to diabetes care, not for other conditions someone may have. Meanwhile, coverage for medications, which may cost consumers hundreds of dollars every month,is no different in the diabetes plans than in other gold plans. In Arlington, Va., for example, the Aetna Innovation Health Leap Gold Diabetes plan with a $3,500 deductible for an indiv Continue reading >>

How To Choose The Best Health Insurance Plan For People With Type 1 Diabetes: Key Questions To Ask

How to Choose The Best Health Insurance Plan for People with Type 1 Diabetes: Key Questions to Ask Living with type 1 diabetes (T1D) means that having health insurance, and understanding how it works for you, is critical. Whether you are newly diagnosed, moving off your parents policy, choosing a new plan or experiencing a change in coverage, JDRF is committed to supporting you by providing tools to help you navigate healthcare and health insurance. When it comes to health insurance for people with T1D, it can seem like decisions are made without a clear reason, and they can surprise you. Our goal is to save you time and lower your frustration by sharing clear information to illustrate what is going on behind the curtain. We also aim to help you minimize the time and energy you spend trying to understand your coverage options, and to help you be prepared when working through issues you may experience. Here, well provide information on several key areas to consider as you select and then use your health insurance plan. Is there information readily available on how to submit an appeal if needed? If you are starting a new job, going into an open enrollment period or experiencing another change in health insurance, you may have more than one choice. Choosing the best health insurance plan for your diabetes can seem overwhelming, but we will help break it down one step at a time. One thing to note is that timing is important when dealing with insurance. Knowing the important dates will help you be successful. The time of year youre able to buy a plan can vary. If you have health insurance through your employer, talk to your human resources manager about your open enrollment dates, which are typically in the last few months of the year. If you are eligible for Medicare, that Continue reading >>

Diabetes Health Coverage: State Laws And Programs

Diabetes Health Coverage State Laws and Programs Diabetes Health Coverage: State Laws and Programs This is a policymaker and consumer guide to state insurance mandated coverage, Medicaid coverage and state-sponsored diabetes programs. It was published 2011and updated material was added January 2016 All state law diabetes mandates and minimum coverage requirements for state-regulated health insurance policies. The tables include the enacted state laws passedsince the firstmandates inCalifornia (1981) and New York (1993). Use links below to go directly to state-based information: State Medicaid diabetes coverage terms and conditions. All Children's Health Insurance Program (CHIP) diabetes coverage. Contact information and an overview of federal funding provided by the Centers for Disease Control and Prevention (CDC) to state-sponsored diabetes prevention and control programs (DPCPs). DPCPs represent the front line in battling diabetes in most states. An overview of other state activities and initiatives, such as creation of diabetes coordinator positions in the executive branch to fight diabetes. Federal Health Reform.The federal Affordable Care Act (ACA) signed March 2010, has led to changed and expanded coverage termed "EssentialHealth Benefits." Newly Released: NCSL Survey:Diabetes Drug coverage: A new survey of2016 Insurance Plans in 50 states, examining 1) patient access to the scores of diabetes drug treatments and2) results in the 46 states with laws mandating or offering diabetes coverage. NCSL original research, published summer 2016. [Read the report] December 2015: " Diabetes: Addressing the Costs; A 50-State Budget Survey for FY 2014 ." NCSL released its latest diabetes report, taking a closer look at programs and budget appropriations that play a role in con Continue reading >>

Diabetes In Children: Preparing A Care Plan For School

Diabetes in Children: Preparing a Care Plan for School A diabetes care plan will help your child's teachers and other school staff know when and how to manage your child's diabetes. For example, if your child needs to eat shortly after taking insulin or to have a snack in class, then a teacher or other adult can make sure that this happens. At the same time, the teacher will know not to make your child stand out as "the kid with diabetes." Your child may also feel better knowing that his or her teachers or other school staff can help when needed. It's a good idea to meet with the school staff, including the principal, teachers, coaches, bus driver, school nurse, and lunchroom workers, before your child starts school and at the beginning of each school year. Update the plan each year before school starts, and tell the school staff about any changes to the plan. The goal of a diabetes care plan for school is to meet your child's daily needs and prepare ahead of time for any problems. This means including all the information that the school staff needs to know to make sure your child's diabetes is under control. A diabetes care plan for school should include medical information as well as other information that the school staff needs to know, including emergency contacts, when to call the parents, and food information. Children with diabetes want to fit in with their classmates as much as possible. A diabetes care plan can also address how to handle special occasions, such as a school party or field trip, so your child won't feel left out. How do you make a diabetes care plan for school? How do you make a diabetes care plan for school? A diabetes care plan lists all the information that the school staff needs to know to make sure your child's diabetes is under control. Be Continue reading >>

Type 1 Diabetes And Healthcare Reform Jdrf

People with T1D need access to affordable health insurance that covers the care necessary to treat their diabetes. To survive, they rely on daily supplies of insulin and the tools required to dose this life-saving medication. JDRF has released a set of healthcare principles and is working with a variety of stakeholders to advocate that these principles are considered in any healthcare reform that may take place in 2017. This includes: Preserving protections for those with pre-existing conditions so they have access to comprehensive health insurance at rates similar to people without such conditions. Under the current law, there are provisions to ensure that people with preexisting conditionslike the 1.25 million Americans who live with T1Dcannot be denied coverage, charged significantly higher premiums or have their benefits curtailed by insurance. This is crucial for people with T1D who need health insurance coverage to access the drugs and devices that keep them alive every day. Allowing young adults to stay on their parents insurance until the age of 26. Current health law allows young adults to join or remain on their parents health insurance until the age of 26. Remaining on a parents plan is crucial to children and young adults with diabetes who have much greater healthcare expenditures, approximately 2.3 times higher, than their peers without diabetes. The provision, which ensures these young people have consistent and affordable access to supplies and medications necessary to manage their disease, continues to have broad bipartisan support. Prohibiting insurance companies from setting annual and lifetime dollar limits for essential health benefits (EHBs). Before passage of the ACA, insurance companies were able to set dollar limitseither annually or for the ent Continue reading >>

Diabetes Information

Member Services Department: Call Simply Healthcare Plans Member Services Department at 1-800-887-6888. From October 1 to February 14, we are open 7 days a week from 8 a.m. 8 p.m. EST. Beginning February 15 to September 30, we are open Monday through Friday, 8 a.m. 8 p.m EST.We do not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, sex, age or disability in our health programs and activities. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Llame al 1-800-887-6888. ATANSYON: Si w pale Kreyl Ayisyen, gen svis d pou lang ki disponib gratis pou ou. Rele 1-800-887-6888. AAAHC | AHCA | HEDIS | Florida Department of Financial Services | NCQA | Privacy Notice | Medicare Complaint Form | Medicare Ombudsman | Employment\Careers Simply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan that has a Medicaid contract with the State of Florida Agency for Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees. Enrollment in Simply Healthcare Plans, Inc. depends on contract renewal. Continue reading >>

The Ultimate Health Insurance Guide For Individuals With Diabetes

Diabetes is a disease that requires a lot of self-management along with the help of various medical equipment and medication such as blood glucose monitor, test strips , insulin, and syringes. Without any health insurance coverage, it will almost be impossible to receive sufficient treatment to manage the symptoms and prevent complications from arising. Although individuals with pre-existing conditions have difficulties getting health insurance coverage in the past, the recent health care reform has significantly made the process much easier for diabetes patients to obtain a policy and receive proper health care. If you have recently been diagnosed with diabetes and/or need to subscribe to a new health insurance policy, this article will give you a wide series of information that will be of help: Health Insurance 101: What is Health Insurance? Health insurance is a form of insurance that provides coverage for an individual who requires medical treatment and/or management. Depending on what type of policy the individual has chosen, the insurance company will either make direct payment to the health provider or reimburse the individual after the payment. When you are reading about health insurance information , you will come across two commonly used terms: provider and insured. The term health provider includes any facilities or professionals that provide health care to the individuals; in other words, health provider can be a hospital, a clinic, an emergency clinic, a doctor, a laboratory facility, a pharmacy, and any health care practitioners. The term insured is the subscriber of the health insurance policy that means you. Coinsurance: It is the percentage of costs you are required to pay for your covered services after you have paid your deductible. Copayment: It is Continue reading >>

Diabetes Care Plan | Cigna

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC). In Arizona, individual HMO plans are insured by Cigna HealthCare of Arizona, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Group Universal Life (GUL) insurance plans are insured by CGLIC. Life (other than GUL), accident, critical illness, and disability plans are insured or administered by Life Insurance Company of North America, except in NY, where insured plans are offered by Cigna Life Insurance Company of New York. All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico. Selecting these links will take you away from Cigna.com. Cigna does not control the linked sites' content or links. Details Continue reading >>

Individual Care Plan

An individual care plan (ICP) is the foundation of a students diabetes care at school. Administering insulin (if needed at school) What to do before, during or after physical activity Other aspects of a students diabetes care at school Each student with diabetes must have a completed care plan at school. Typically, parents complete the plan, with help from a member of their childs diabetes care team if needed. The Canadian Paediatric Society, Canadian Pediatric Endocrine Group , and Diabetes Canada all recommend that each student with diabetes have a completed care plan at school.The ICP should clearly outline roles and responsibilities of school personnel, parents and the child with diabetes. Before the start of each school year (or right after a student is diagnosed), parents should review the plan with the principal (or designate), the childs teachers, and the school staff who have been designated to provide care or support throughout the school year. Your province may already have an approved care plan in place. If not, atemplate individual care plan is provided here in 3 formats: A Microsoft Word file , which can be filled in electronically or printed. A fillable PDF , if you prefer to complete the form electronically. You will need to print the final version and add signatures. Note: This form works best using Adobe Acrobat Reader , which is available at no cost. Once the care plan is complete, parents should fill in the quick-reference sheet (provided here as a pdf file), which outlines the major routine tasks to be done each day. Indicate which, if any, tasks the student needs help with. Keep a copy of the quick reference sheet in each classroom and all locations (eg., gym, library) where the student spends part of the school day. Be sure to check whether your Continue reading >>

Colorado Kids With Diabetes | Nurse Files: Includes Individualized Health Plans

Nurse Files: includes Individualized Health Plans Contains Instructions, Individualized Health Plans, Standards of Care, Provider Order forms, Documentation records/logs and resources Standards of Care for Diabetes Management in the School Setting 2017 :These standards of care for students with Type 1 Diabetes are to be used in conjunction with the Colorado Provider Orders & Individualized Health Plans. The students health care provider may indicate exceptions to these standards on the students individual orders. These Standards were originally developed in 2013 by theColorado Kids with Diabetes Care and Prevention Collaborative of local health care providers, nurses and stakeholders and are updated annually. Guidelines of Insulin Management :Practicalguidelines on insulin management in Colorado Collaborative Guidelines for Dexcom G5 Non-Adjunctive Dosing :These guidelines are to be used if parents have requested to use the Dexcom G5 (only) for Non-Adjunctive Insulin dosing. Guiding Principles Chronic Health Conditions : Guidance from the Colorado Department of Education and the American Diabetes Association Bus Emergency Medication on Bus 2013 :Provided by the Colorado Department of Education guidelines for medication administration on school buses. ADA CGM Guidance Nov 2016 : Guidance from the American Diabetes Association regarding the use of CGM in the school setting #502 Insulin Carb Calculation worksheet : Documentation tool for daily Insulin Carb dosing #505 School Reporting Form-BDC : Optional form to report Blood Glucose that are out of range #720 Low-High BS Hands A great visual tool that lists the symptoms, causes and how to problem solve both high and low blood sugars on one piece of paper.Great reference for classroom teachers, substitute teachers, aids an Continue reading >>

Your Care Plan: Diabetes

Diabetes is a condition of elevated blood glucose (sugars) where the body does not produce enough insulin to meet the body's needs or the body does not respond properly to the insulin being made. The food you eat provides the body with glucose, which is used by the cells as a source of energy. Insulin is an important hormone that enables glucose to move into cells. If insulin isn't available or doesn't work correctly to move glucose from the blood into cells, glucose will stay in the blood. High blood glucose levels are toxic and cells that don't get glucose are lacking the fuel they need. To determine whether you have diabetes, your physician or primary health care provider will ask you about your symptoms (such as weight loss, thirst, and frequent urination) and perform some simple blood tests to diagnose diabetes. Your health care provider will also ask about your medical and family history. Your health care provider may order or perform the tests described below. Most people with diabetes can be cared for by their family physician, but in some cases you may be referred to another primary health care provider, such as a dietitian, diabetes educator, or endocrinologist. There are a number of tests that your health care provider may perform or order, such as: fasting plasma glucose (FPG): measures blood sugar when you have not had anything to eat for at least 8 to 10 hours random plasma glucose: measures blood sugar at a random time oral glucose tolerance test (OGTT) : measures your blood sugar at fasting and 2 hours after you drink a 75g carbohydrate drink A1C: a measurement that reflects the average blood sugar level in your blood over the last 2 to 3 months keep blood sugars as close to a normal range as possible prevent or lower the risk of diabetes-related compli Continue reading >>

Developing A Type 2 Diabetes Care Plan

A management plan after a diabetes diagnosis can help you make healthy changes in your life. Knowing what to include in a well thought-out diabetes care plan can outline ways to live well with this condition. If you've recently been diagnosed with type 2 diabetes , you may have a lot to learn about the disease itself, how to change your diet , what medications to take, possible long-term complications, and more. How do you take this all in? Since it’s not easy to learn everything all at once, educating yourself about type 2 diabetes requires a well thought-out care plan that outlines ways to live well with this condition. Kathy Honick, RN, a diabetes educator at Barnes Jewish Hospital in St. Louis, says such a plan should cover: By incorporating these issues into a plan, you — and your family — can learn the dos and don’ts of diabetes. As you work on controlling your blood sugar, you may need to learn about portion control and how to make the right food choices . According to Honick, "understanding how the choice of foods and beverages affects diabetes control, including the ability to identify and limit carbohydrates in meal planning," is the goal. The more you learn about how many carbohydrates and how much fat and protein you can safely eat in a given meal, the easier it will be to make good choices. Healthy lifestyles include physical activity. Regular exercise can help control your diabetes and may even decrease the amount of medications you need to take. A diabetes educator can help you learn about the types of activities that can best help you, but always check with your doctor before beginning any new exercise regimen. As someone with type 2 diabetes, you’ll need to monitor your blood sugar on a regular basis. Several automated devices are available t Continue reading >>