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Diabetes Education Center

Insurance Coverage

Does my insurance cover diabetes education?

Probably! But it is in your best interest to determine how your health insurance pays prior to service.

We encourage all our class participants to become very familiar with their insurance coverage for diabetes education.

  • You may have benefits you are not aware of and are not using.
  • You may have limits to your diabetes education coverage.
  • You may be able to design your diabetes education program to meet your specific needs.

At St. Mary Medical Center we are happy to help guide you through the process of checking your insurance benefits, however, it must be your priority and your responsibility to understand your own insurance plan.

Following are some easy tips to help you navigate through the process of working with your insurance provider.

  1. Call the customer service number listed on the back of your insurance card.
  2. When prompted, select benefits and eligibility.
  3. Ask for and record the name of the representative, the date and time of the call. Keep detailed notes of information exchanged during the call.
  4. Ask “How is my diabetes education covered?” Frequently, your education coverage is subject to satisfaction of your deductible and coinsurance.
  5. Ask about copayment. Our comprehensive education program consists of 5 classes, each billed separately.
  6. Inquire about any limits to diabetes education. It may be monetary, number of sessions per year, number of hours per year.
  7. If there is a limit on your benefits, the representative should tell you the remainder available.
  8. Ask if you need a preauthorization or a referral.
  9. If you still have questions about your coverage, feel free to call us to discuss the issue. We have found that, on occasion, insurance representatives have provided misleading or inaccurate information for a particular health plan.