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Employer-Sponsored Health Plans:

Make Them Work for the Diabetes Care You Need

 

Helping Employer-Sponsored Health Plans
Better Meet Diabetes Care Needs


If your employer-sponsored health insurance does not cover the therapies, devices and care you need for your diabetes, there are steps you can take to advocate for yourself (or your family member) and potentially improve your available options. Managing diabetes can be expensive without adequate insurance coverage, but by using the resources on this site you can educate yourself and feel empowered to speak with your employer or Human Resources department about finding ways to access the affordable, high-quality care you or your family member needs.

Are You Ready to Take Action?

Take action now to advocate to your employer or human resources department to demand access in the pharmacy to the Omnipod® 5 Automated Insulin Delivery System.
 

1. Click below to download 3 possible letter templates for employees living with type 1 diabetes (T1D) or the family member of the employee living with T1D: Choose the letter template that matches your situation.

2. Customize the letter template with the actions you have already taken to request coverage and with your or your family’s daily challenges of living with and managing T1D.

3. Send this as a letter or an email to your employer or HR department.

 

 

Download the Letters


Omnipod 5® is for patients with type 1 diabetes 6 years and older.

 

Tips for Advocacy:

 

*The National Drug Code Directory lists all over the counter and prescription products in the United States, including diabetes treatment technologies like Omnipod. The NDC number is a unique number that helps identify products in the United States, containing information about the manufacturer, the product, and the packaging. The Food and Drug Administration (FDA) publishes a regularly updated list of all NDC numbers.

 

 

Do You Have Questions? We Have Answers.

A: Your employer’s human resources (HR) department should be able to address many of your insurance-related questions. If you want to see if your diabetes care is covered, need to file a claim, or are having trouble navigating your plan and understanding the costs, the HR department will support you.

A: It’s important to know the type of insurance you have because it impacts the total out-of-pocket expenses you will have. You will have expenses no matter what type of health insurance you have, but some plans are more affordable for diabetes care. These are the typical expenses you will encounter with your health insurance plan:

There are three main types of health insurance – health maintenance organizations (HMO), preferred provider organizations (PPO) and high deductible health plans (HDHP). Here is an overview of the different types of health plans and what they might cost:

A: Robust employer-sponsored health insurance plans should make medical expenses related to diabetes affordable and predictable. If you are trying to make permanent changes to your employer-sponsored health plan, your HR department can help you advocate for future health plans that better support diabetes needs. Employers have the power to make changes to their health coverage options every year. Here are some changes you can advocate for:

To familiarize yourself with how you can work with your employer for better coverage, read our article How to Advocate for Yourself: Making Employer-Sponsored Health Plans Work for Your Diabetes Care

Read the Article

To familiarize yourself with how you can work with your employer for better coverage, read our article How to Advocate for Yourself: Making Employer-Sponsored Health Plans Work for Your Diabetes Care

 

Learn How to Advocate for
the Coverage You Need

 

If your employer-sponsored health coverage does not provide the benefits you need to cover diabetes therapies like Omnipod, there are steps you can take to advocate for yourself. This short, informative video tells you everything you need to know to get started.

We're Here to Support You

Still unsure about how to engage with your employer for the insurance coverage needed
for diabetes therapy and technology? Our customer care team can help.

 


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