Covered Diabetic Supplies for Colorado Option Plans

Colorado Option plans provide coverage of diabetic supplies at $0 cost-sharing and not subject to a deductible, copayments, or coinsurance. See below for more information.

Continuous Glucose Monitors and Components

Covered by Pharmacy Benefits

Product
Coverage Type
Dexcom G6 (Receiver, Sensor, Transmitter)*
Prescription Drug
Dexcom G7 (Receiver, Sensor, Transmitter)*
Prescription Drug
FreeStyle Libre 14 Day (Reader and Sensor)*
Prescription Drug
FreeStyle Libre 2 (Reader and Sensor)*
Prescription Drug
FreeStyle Libre 3 (Reader and Sensor)*
Prescription Drug
FreeStyle Libre 2 Plus Sensor Kit*
Prescription Drug
FreeStyle Libre 3 Plus Sensor Kit*
Prescription Drug

 

*Supplies are covered at $0 cost-sharing and not subject to a deductible, copayment, or

coinsurance

Insulin Pumps

Covered by Medical and Pharmacy Benefits

Product
Coverage Type
OmniPod 5 DexG7G6
Prescription Drug
OmniPod 5 G6
Prescription Drug
iLet Insulin Pump
Medical
T:slim X2 Insulin Pump
Medical
Tandem Mobi Insulin Pump
Medical
MiniMed 630G Insulin Pump
Medical
MiniMed 770G Insulin Pump
Medical
MiniMed 780G Insulin Pump
Medical

 

Blood Glucose Monitors and Test Strips

Covered by Pharmacy Benefits

Product
Coverage Type
Glucose Monitors
Prescription Drug
FreeStyle Lite Meter*
FreeStyle Freedom Lite Meter*
Precision Xtra Meter*
FreeStyle Precision Neo Meter Kit*
Test Strips
Prescription Drug
FreeStyle Lite Test Strips
FreeStyle Test Strips
Precision Xtra Test Strips
FreeStyle Precision Neo Test Strips

 

*Supplies are covered at $0 cost-sharing and not subject to a deductible, copayment, or

coinsurance

Lancets/Syringes/Needles

Covered by Medical and Pharmacy Benefits

Product
Coverage Type
Lancets
Prescription Drug
Freestyle
Truplus
Softclix
Syringes and Needles
Prescription Drug
Syringe with needle, sterile, 1 cc or less
Syringe with needle, sterile, 2 ccs
Syringe with needle, sterile, 3ccs
Unifine
BD

 

Where can I learn more about Prescription Drug benefits?

  • To learn more about a product on this list, check your Prescription Drug List for tier information, coverage rules, and any limits (such as quantity limits).
  • To find an in-network pharmacy, check the Provider Directory. Have your pharmacy submit a claim to SelectHealth (our pharmacy service provider) to process the claim under your pharmacy benefit.

Where can I learn more about Durable Medical Equipment (DME) products?

DME Provider
Phone Number
Website
Byram Healthcare Centers
303-762-1263
byramhealthcare.com
Homelink
800-482-1993
vgmhomelink.com
JQ Medical
800-231-6820
jqmedical.com
Lincoln Health Supply
877-760-3332, 800-481-4784, 855-553-3331, 800-656-0626
lincolnhealthsupply.com