Plan Year 2021 diabetic supply coverage change in the HealthSelect^SM Prescription Drug Program

HealthSelect of Texas^® or HealthSelect^SM Out-of-State participants now pay nothing for diabetic supplies such as certain brands of test strips and lancets and lancing devices under the HealthSelect^SM Prescription Drug Program (PDP), administered by OptumRx, when they use an in-network pharmacy and present their prescription drug ID card.

Consumer Directed HealthSelect^SM participants can get lancets, lancing devices, syringes, pen needles and OneTouch test strips at no cost after they meet their annual deductible.

Free Glucose Meter Program

The Free Glucose Meter Program lets HealthSelect of Texas and HealthSelect Out-of-State participants get a certain OneTouch Verio glucometer at no cost when they order it through LifeScan (the manufacturer of OneTouch products). Once their provider determines which glucometer they should use, participants can then:

1. Contact the LifeScan Service Center at (866) 355-9962 or visit the website at www.onetouch.orderpoints.com.
2. Enter the Brochure Code: 594PRX100. 

LifeScan will deliver the glucometer to their address.

To get the OneTouch glucometer at no cost, participants must order through LifeScan. If they prefer to get their glucometer at a retail pharmacy, they will need a valid prescription from their doctor. They will be responsible for the applicable copay/coinsurance.

Items covered at an in-network pharmacies with a copay/coinsurance

The HealthSelect PDP benefit may cover other diabetic supplies at in-network pharmacies with a copay or coinsurance. After meeting their annual deductible, participants will pay the applicable copay/coinsurance depending on the tier status of the item they are purchasing. They can call OptumRx Customer Care at (855) 828-9834 (TTY: 711) or visit www.healthselectrx.com to find out more about the cost of a particular item.

The pharmacy benefit covers the following items with a copay/coinsurance:

• insulin,
• diabetic oral agents,
• certain glucometers,
• certain test strips,
• alcohol wipes and swabs,
• glucagon emergency kits and
• syringes and pen needles.

Coverage of diabetic supplies and equipment under the HealthSelect medical plans administered by Blue Cross and Blue Shield of Texas (BCBSTX) remains unchanged, so participants can continue to receive covered diabetic supplies and equipment through their medical benefits if they prefer. But now they have the additional option of getting certain diabetic supplies and equipment at an in-network pharmacy through their pharmacy benefits.

To learn more about the HealthSelect PDP’s diabetic supply coverage change, encourage your employees to read these "Frequently Asked Questions" or call OptumRx Customer Care toll-free at (855) 828-9834 (TTY: 711).

Health and other insurance benefits for employees and retirees are subject to change.