visual blood sugar reading, and urine testing insulin and accessories to the pumps, insulin infusion devices, prescriptive oral agents for controlling blood sugar levels, foot care appliances for prevention of complications associated with diabetes, and RCW glucagon emergency kits. 48.21.143(2)(b) Whether or not the contract provides Rx Benefits, does it provide: outpatient self-management training and education, including medical nutrition therapy, as ordered by the health care provider. Diabetes outpatient self-management training and education may be provided only by health care providers with expertise in diabetes. ISSUER may restrict patients to seeing only health care providers who have signed participating RCW provider agreements with the ISSUER or an insuring entity under contract with the issuer. Diabetes 48.21.143(3) Benefits may be subject to customary cost sharing for all similar services or supplies within the (Cont’d) RCW policy. 48.21.143(5) Services must be covered when deemed medically necessary. Disclosures RCW 48.43.510(3) Does the issuer provide to all enrollees and prospective enrollees a list of available disclosure WAC 284-43-820(4) items, including: Instructions on how to access and request copies in paper and electronic forms, and Web site links to the entire health plan disclosure information. RCW 48.43.510(1)(g) Does the plan clearly and prominently display an offer to provide the following information before WAC 284-43-820 purchase or selection? Information must be provided upon request (either by paper or electronic, whichever is requested). Must be prominently displayed and accessible on the issuer’s website and easily understood by the average plan participant. RCW 48.43.510(1)(a) listing of covered benefits, including RX benefits, if any, copy of the current formulary, if any is used
Diabetes (Cont’d) RCW 48.21.143(2)(b) RCW 48.21.143(3) RCW 48.21.143(5) visual blood sugar reading, and urine testing insulin and accessories to the pumps, insulin infusion devices, prescriptive oral agents for controlling blood sugar levels, foot care appliances for prevention of complications associated with diabetes, and glucagon emergency kits. Whether or not the contract provides Rx Benefits, does it provide: outpatient self-management training and education, including medical nutrition therapy, as ordered by the health care provider. Diabetes outpatient self-management training and education may be provided only by health care providers with expertise in diabetes. ISSUER may restrict patients to seeing only health care providers who have signed participating provider agreements with the ISSUER or an insuring entity under contract with the issuer. Benefits may be subject to customary cost sharing for all similar services or supplies within the policy. Services must be covered when deemed medically necessary. Disclosures RCW 48.43.510(3) WAC 284-43-820(4) RCW 48.43.510(1)(g) WAC 284-43-820 RCW 48.43.510(1)(a) Does the issuer provide to all enrollees and prospective enrollees a list of available disclosure items, including: Instructions on how to access and request copies in paper and electronic forms, and Web site links to the entire health plan disclosure information. Does the plan clearly and prominently display an offer to provide the following information before purchase or selection? Information must be provided upon request (either by paper or electronic, whichever is requested). Must be prominently displayed and accessible on the issuer’s website and easily understood by the average plan participant. listing of covered benefits, including RX benefits, if any, copy of the current formulary, if any is used
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