2021 Enhanced Diabetes Benefits

We understand that people living with diabetes have unique needs in the day-to-day management of their condition and their health. That’s why Independent Health continues to work hard to help our members with diabetes manage their special needs, live healthier and save money.

If you have a diagnosis of diabetes, you are eligible for the following enhanced benefits:

• Special Senior Savings for select insulins from the first day of coverage, including the deductible and coverage gap stages*:
  • $35 copays for Medicare Advantage Part D plan members.
  • $11 copays for Independent Health’s Assure Advantage® HMO C-SNP plan members.**
• $0 diabetic monitoring supplies, including glucose monitors, lancets and test strips.
• $0 copay for diabetic labs (HbA1c, GFR).
• $0 copay for an endocrinologist office visit.
• $0 copay for diabetic retinopathy screening.***
• $0 copay for consultation with a nutritionist.

All Independent Health Members have access to health coaching support from expert dietitians and diabetes educators through the Brook Personal Health Companion app at no cost.

It’s another way Independent Health does more to help our members, and one of the reasons why more people choose us than any other Medicare Advantage Plan in WNY.†

Talk With a RedShirt®:
For questions about these benefits, please call
(716) 635-4900 or 1-800-958-4405 (TTY: 711);
October 1 – March 31: Mon. – Sun., 8 a.m. – 8 p.m.;
April 1 – September 30: Mon. – Fri., 8 a.m. – 8 p.m.

Independent Health is a Medicare Advantage organization with a Medicare contract offering HMO, HMO-SNP, HMO-POS and PPO plans. Enrollment in Independent Health depends on contract renewal. Limitations, copayments, and restrictions may apply. Benefit and/or copayments may change on January 1 of each year. Benefits vary by plan.

*Part D Senior Savings program members pay a $35 copayment per 30 day supply for select insulins during the deductible, initial coverage and the coverage gap stages. Our Assure Advantage® HMO C-SNP members pay a $11 copayment per 30 day supply for select insulins during the deductible, initial coverage and the coverage gap stages. Note: Only self-injected insulin meets the criteria for a Part D covered drug and is eligible for the cost savings under the Senior Savings Model (insulin received through a pump or oral diabetic medication is not eligible). This cost-sharing only applies to beneficiaries who do not qualify for a program that helps pay for your drugs (“Extra Help”). To find out which drugs are select insulins, review the most recent Drug List at independenthealth.com/formulary. If you have questions about the Drug List, you can also call Member Services.

**To be eligible for Independent Health’s Assure Advantage HMO C-SNP plan you must have a diagnosis of both diabetes and chronic heart failure, and reside in Erie County, New York.

***Retinopathy screening covers both the screening and the ophthalmologist copay. Coverage does not apply to every eye injury or disease of the eye.

†Per CMS WNY enrollment data 8/20.

Out-of-network/non-contracted providers are under no obligation to treat Independent Health members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.