Special Benefits for People with Diabetes

At BayCarePlus Medicare Advantage, we believe our members should be able to have affordable, easy access to benefits that’ll help them effectively manage their diabetes and avoid serious illness. The cost of insulin, testing supplies and other necessary items for diabetes should not be a barrier to getting the care you need.

All BayCarePlus members who have diabetes are covered for diabetic supplies, insulin, shoes/ inserts and self-management training, as these apply to their diagnosis. You won’t pay more than $35 for a one-month supply of each Part D insulin product covered by our plan, no matter your plan choice. BayCarePlus Complete and Premier plan members who have diabetes are entitled to certain extra benefits.

BayCarePlus
Complete (HMO)		 BayCarePlus
Premier (HMO)
Diabetes Benefits

Insulin (30-day supply)

 $0-$35 Copay per month

Diabetes Supplies

 $0 Copay when using a network pharmacy or contracted durable medical equipment (DME) provider

Enhanced Podiatry Benefit

 $0 Copay for up to four routine visits/calendar year, which include nail trimmings $0 Copay for up to six routine visits/calendar year, which include nail trimmings

Extra Nutrition Counseling

 $0 Copay for four additional hours/calendar year $0 Copay for six additional hours/calendar year
Diabetes Benefits
BayCarePlus
Complete (HMO)

Insulin (30-day supply)

 $0-$35 Copay per month

Diabetes Supplies

 $0 Copay when using a network pharmacy or contracted durable medical equipment (DME) provider

Enhanced Podiatry Benefit

 $0 Copay for up to four routine visits/calendar year, which include nail trimmings

Extra Nutrition Counseling

 $0 Copay for four additional hours/calendar year
BayCarePlus
Premier (HMO)

Insulin (30-day supply)

 $0-$35 Copay per month

Diabetes Supplies

 $0 Copay when using a network pharmacy or contracted durable medical equipment (DME) provider

Enhanced Podiatry Benefit

 $0 Copay for up to six routine visits/calendar year, which include nail trimmings

Extra Nutrition Counseling

 $0 Copay for six additional hours/calendar year

Important Disclaimers

For accommodations of persons with special needs at meetings call (877) 549-1741 (TTY: 711).

BayCare Select Health Plans is an HMO plan with a Medicare contract. Enrollment in BayCare Select Health Plans depends on contract renewal. All BayCare Select Health Plans include Part D drug coverage.

To enroll, you must have both Medicare Parts A and B and reside in the plan service area.

You must continue to pay your Medicare Part B premium. Enrollment in a BayCare Select Health Plan may be limited to specific times of the year.

Members must use plan providers except in emergency or urgent care situations. If a member obtains care from an out-of-network provider without prior approval from BayCare Select Health Plans, neither Medicare nor BayCare Select Health Plans will be responsible for the costs.

Information on our utilization management processes, including prior authorization, concurrent review, post service review and appeals, can be found online at Member.BayCarePlus.org.

BayCare Select Health Plans complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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MID: H2235_25-077_M_2025 - Last updated: 9/25/2024