Prescriptions $75.00 deductible per individual, after that 80/20, monthly.
--Insulins being $80-100 per bottle, retail not co-pay cost
--test strips being around $100 per 100 strips, retail not copay cost
--glucagon being $100.00 per kit retail
DME has a $500 deductible per individual & $1000 per family
$3000 maximum out of pocket per year
no DME maximum on plan for supplies
Dr. visits are 80/20 or 70/20, depending on Dr. after the $500 deductible is met.
Insulin pump coverage is 70/30; but has to be preapproved and they pro-rate their payments over 12 months. If you buy it, they wouldn't re-imburse you all at once...you would get 1/12 of the amount for 12 months.
No alcohol, ivprep, betadine wipes covered
Numbing cream not covered under DME or MMS...maybe under pharmacy
No tapes of any kind covered
No lotions/creams covered
Infusion set and resevoirs are covered under the 80/20 or 70/30 (depending if they are Preferred) and after $500 is met.
Cost of $150.00 per month from employer plan.