Demand #Coverage2Control for Type 1 Diabetes

Tell your insurance company to provide coverage that works.

More than 50,000 people have signed the #Coverage2Control petition, telling insurance companies to provide the coverage that people with type 1 diabetes (T1D) need. JDRF delivered this message directly to the CEOs of each of the 25 largest insurance companies in the United States.

Now, we’re asking for your help to send a new message to insurance companies, urging them to pass on the drug savings they receive to their members.

Insurance companies should hear from you — their members directly affected by their decisions. When insurers pass on the rebates they receive from pharmaceutical companies in the form of reduced prices, the savings help make out-of-pocket costs for insulin more predictable and reasonable.

It takes less than 60 seconds.

Here’s how to do it in three, easy steps:

  1. Below is an alphabetical list of the 25 largest U.S. insurance companies. Click on the link corresponding to your insurer, and you’ll find a pre-written letter customized to urge them to pass on the drug savings they receive to their members.
  2. Add a personal comment if you wish, and within seconds, send your insurance company an email.
  3. Then, share your support on social media by clicking on the Facebook or Twitter icons to generate sample posts.

Is your insurance company offering #Coverage2Control?

The below table depicts where each of the 25 largest U.S. insurance companies stand on JDRF’s three #Coverage2Control demands for affordability, choice, and coverage. Many insurers offer a number of policies that help people with type 1 diabetes; others can do more. JDRF is actively engaging and has attempted to contact every insurance company on this list to better understand their policies and urge them to provide the coverage that people with T1D need.

Does your insurance company have a policy that hurts, rather than helps, people with T1D? Click their name in the table and send them a letter today!

KEY

Green = Policy offers #Coverage2Control (but there’s still more they could do!)*
Red = Policy does not offer #Coverage2Control
Yellow = Current policy is not clear

Insurance company Affordability:
Does it include insulin on the preventive medicine list?
Choice:
Does it engage in exclusive contracts with medical device providers?
Coverage:
Does it cover artificial pancreas systems?
Rebates:
Does it pass through rebates at the point of sale?
Aetna check check check check
Anthem check check check clear
Blue Cross and Blue Shield of Alabama check check check clear
Blue Cross and Blue Shield of Florida check check check clear
Blue Cross and Blue Shield of Massachusetts check check check clear
Blue Cross and Blue Shield of Michigan clear check check clear
Blue Cross and Blue Shield of Minnesota check check check clear
Blue Cross and Blue Shield of North Carolina check check check clear
Blue Cross and Blue Shield of Tennessee
check check check clear
Blue Cross and Blue Shield of Texas check check check clear
Blue Shield of California clear check check clear
Cambia Health Solutions clear help_outline help_outline clear
CareFirst BlueCross BlueShield clear check help_outline clear
Cigna clear check check clear
EmblemHealth** clear check help_outline clear
Health Care Service Corporation check check check clear
Highmark clear check check clear
Horizon Blue Cross Blue Shield clear check check clear
Humana check check check clear
Independence Blue Cross check help_outline check clear
Kaiser Permanente check check check clear
Medica Health Plans check check check clear
Premera Blue Cross clear help_outline check clear
UnitedHealthcare clear clear check check
Wellmark Blue Cross Blue Shield clear help_outline help_outline clear

 

Don’t see your insurance company listed?

You can also download a template letter that you can customize and send to your specific insurer. On most insurance company websites, you can find a ‘contact us’ page or a similar page with directions on where to send your letter.


While insurance companies offering #Coverage2Control include insulin on their preventive medicine list, insurers can take at least three additional steps to help keep out-of-pocket costs for insulin even more predictable and reasonable. These include:

  1. Passing rebates received on pharmaceuticals to beneficiaries in the form of reduced prices.
  2. Moving insulin and diabetes management tools to tier 1 or tier 2 benefit levels.
  3. Providing cost-sharing for insulin and diabetes management tools as fixed dollar “co-payments” rather than a percentage “co-insurance.””

For example, UnitedHealthcare recently announced it will extend the pharmacy discounts it receives – including for insulin – to millions of its members. Blue Cross Blue Shield Florida has also taken significant positive steps on these policies. They offer zero cost-sharing for insulin pumps and pump supplies for those under age 65 and their brand drugs for diabetics are half the cost of other brands in the same tier of their formulary. They also make sure that insulin is on their preventive medicine list in all individual and small group plans. JDRF is interested to hear from other insurance companies on their policies around insulin affordability — please contact us.

**Emblem considers upgrades to the 670G artificial pancreas system on a case-by-case basis.

Note: The information in the above table reflects publicly available documents or responses to emailed requests for information from each health insurance company. Each company offers a number of health plans, some of which may have different coverage policies than are shown here.

For insurance companies: Any insurance company who would like to contact JDRF about its health plan offerings or the information in the chart above, please contact Jesse Bushman, JDRF’s Senior Director of Healthy Policy.