Looking to improve employee health and lower total cost of care? Our whole-health approach to preventing, managing, and even reversing diabetes can help you do both. Our members can take control of prediabetes and diabetes with programs and resources that work best for them. In fact, we are the first health insurer in Pennsylvania to offer its members an innovative app that can help reverse Type 2 diabetes.
Why this matters to business leaders like you
Diabetes affects employers’ bottom lines.
- Capital Blue Cross employers spend three times more on someone diagnosed with diabetes than those who are not.
- Annual diabetes costs have risen to $327 billion1 making it one of the top 5 most costly medical conditions affecting the U.S. commercially insured population according to the BCBS Health Index.1
- Diabetes also drives other costs, such as absenteeism, reduced productivity, and inability to work.
- One in three Americans is expected to have diabetes by 2050.
Thankfully, we can help.
Yes, diabetes can be costly. But we have solutions that can make a difference. Our programs focus on reducing healthcare costs and improving quality of life—at no extra member cost.
Members who enroll can:
- Get support from a professional health coach.
- Connect devices and fitness trackers to their account.
- Find help with healthy eating and managing stress.
- Receive support from an online community.
Our programs
Each program has an application and screening process to determine member eligibility. Some health conditions will exclude members from participation.
Omada: Diabetes Prevention Program (Prediabetes)
- Omada is the largest digital CDC-recognized diabetes prevention program in the U.S.
- Available to eligible members ages 18 and older with prediabetes or at risk for diabetes.
- Helps members lose weight and reduce their risk of developing Type 2 diabetes.
- Cellular-connected scale included.
- Members can stay connected how they like and when they want from their smartphone, tablet, or computer with Omada’s user-friendly app and website.
Omada: Diabetes Management Program (Type 1 and Type 2)
- A personalized experience based on a participant’s care plan and unique health goals.
- Available to eligible members ages 18 and older with Type 1 and Type 2 diabetes.
- Includes features like remote blood glucose monitoring and education on diabetes self-management.
- Members can stay connected how they like and when they want from their smartphone, tablet, or computer with Omada’s user-friendly app and website.
- Members with Type 2 diabetes can participate in either Diabetes Management or Diabetes Reversal. While they can switch from one program to the other, they cannot participate in both at the same time.
Virta: Diabetes Reversal Program (Type 2)
- Personalized nutrition therapy with remote care from doctors.
- Available to eligible members with Type 2 diabetes ages 18 to 79 who are ready to commit to lifestyle changes needed to reverse diabetes.
- Proven results - Virta reports that 83% of patients in a clinical trial remained with Virta for at least one year, 60% of those patients reversed their diabetes.2
- Members can stay connected how they like and when they want from their smartphone or tablet with Virta's user-friendly app.
- Members with Type 2 diabetes can participate in either Diabetes Management or Diabetes Reversal. While they can switch from one program to the other, they cannot participate in both at the same time.
Let's improve the overall health and cost of care for your workforce.
We're here to help. Contact your account executive today for additional information, support, and questions about these programs.
More diabetes and prediabetes resources
Whether it’s something as simple as looking for an in-network provider, understanding prescription drug benefits, or finding extra motivation to eat well or exercise, we can help your employees reach their goals!
Blood Glucose Meter Savings Program
Free OneTouch® Glucose Test Strips
Monitoring your blood sugar is an important part of managing diabetes and staying healthy. Our members can save on glucose test strips from OneTouch®, Capital Blue Cross’ preferred test strip provider.
Members can get a free blood glucose meter from OneTouch or may call 888.234.8080. Enter code 524CAP001.
Nonnpreferred test strip brands
Nonpreferred test strip brands require prior authorization. These include Accu-Chek®, Contour® Next, Freestyle®, and Precision Xtra®. Without prior authorization, test strips will not be covered by your plan.
Questions?
Call 888.234.8080
OneTouch and LifeScan products are now brand preferred products on all Capital Blue Cross formularies.
Care Management
The extra help members deserve—at no cost.
Our Care Management team includes nurses, social workers, and other healthcare professionals who can work with your employees’ doctors, family, and even caregivers. Together, they can make a plan that’s best for each individual, based on their unique health needs. Members with chronic and complex conditions can request Care Management program information. Their doctors can also refer them or call 888.545.4512 for more information.
Find a doctor, hospital or other care provider
Looking for in-network providers?
Use MyCare Finder to find them—and save money.
With MyCare Finder, search for providers, including:
- Diabetes educators
- Optometrists or ophthalmologists, or eye doctors
- Pharmacists
- Podiatrists, or foot doctors
- Registered dietitians
- A primary care provider, or PCP
MyCare Finder can help you save money, too. It includes a tool that compares the cost4 of treatment from one provider to another.
Fitness classes, health coaches, plan consultations, and more
Capital Blue Cross Connect 5
Members can connect with our team of trusted and dedicated representatives to learn about coverage options, benefits, health coaching, nutrition, and much more. Visit one of our Capital Blue Cross Connect health and wellness centers throughout Central Pennsylvania and the Lehigh Valley.
We offer health experiences, including fitness classes, cooking demos, and special wellness events to help improve the health and well-being of our members and the communities they call home.
Don’t live nearby? Capital Blue Cross Connect has virtual events and fitness classes anyone can attend from anywhere!
Health and wellness programs and courses
Knowledge and tools for better health
All members have free or discounted access to a variety of virtual and in-person health and wellness programs and courses that can help you control diabetes or lower the risk of developing diabetes. Whether you need help with healthy eating, getting active, managing stress, or creating healthy habits for weight loss, our health education consultants are here for you throughout your personal wellness journey. Employers have the opportunity to schedule virtual or in-person sessions of these courses for their employees. Get in touch with your account executive or health education consultant to get started!
Have a session on the go or at home
VirtualCare nutrition counseling
Your employees can schedule a VirtualCare nutrition counseling appointment with a registered dietitian so they can get help with diabetes, high blood sugar, weight loss, and more. With convenient scheduling, they can set up a time around their calendar and even have a visit from their kitchen.
VirtualCare is available for medical or behavioral health visits, too. Contact your account executive to learn more.
Save on healthy meals, gym memberships, and more
Blue365® offers healthy deals just for you.6
Living well with diabetes should be affordable. Blue365 offers discounts on fitness gear, gym memberships, healthy diabetes-friendly eating options, and more—just for Capital Blue Cross members.
Source
2 Employers with fewer than 100 employees or a fully insured plan. Omada and Virta are included with your plan and are available to members at no extra cost. Contact your account executive for details.
3 Self-insured employers with more than 100 employees. Omada is included with your plan and are available to members at no extra cost. To access Virta, you must opt into the program. Contact your account executive for details.
4Cost comparisons are built from a historical range of amounts paid to providers. This is not a recommendation or endorsement of any particular health care provider or its services and should not be construed as medical advice. Capital Blue Cross does not guarantee that services will be available or will be any particular quality or cost.
5 Capital Blue Cross Connect is brought to you by Capital Blue Cross.
6 The Blue365® program is brought to you by the Blue Cross Blue Shield Association. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and/or Blue Shield Companies. Blue365 offers access to savings on health and wellness products and services and other interesting items that Members may purchase from independent vendors, which are different from covered benefits under your policies with Capital Blue Cross and its family of companies, its contracts with Medicare, or any other applicable federal healthcare program.