Reminder: Medicare patients at risk for Type 2 diabetes eligible for new diabetes prevention program starting April 1

As we recently informed you, your Medicare patients who have Part B coverage and are at risk for Type 2 diabetes are eligible to participate in the new Medicare Diabetes Prevention Program starting April 1. It’s offered at no cost to Blue Cross Blue Shield of Michigan members.

In a random controlled trial, the program was proven by the National Institutes of Health to greatly reduce the progression of prediabetes to Type 2 diabetes. Program services are delivered in community settings by lifestyle coaches. The coaches are trained by organizations that are recognized by the Centers for Disease Control and Prevention. To learn more about the program, click here.**

Medicare criteria for eligibility are:

• Enrollment in Medicare Part B
• Blood value (one of the following):
• Fasting plasma glucose of 100-125 mg/dL
• A1c value between 5.7 and 6.4
• Oral glucose tolerance test between 140 mg/dL and 199 mg/dL
• Body mass index greater than 25 (If Asian, greater than 23)
• No diagnosis of end-stage renal disease, Type 1 or Type 2 diabetes; previous gestational diabetes is not an exclusion to participation.

For details on how eligible members can enroll in the program, call the program administrator, Solera Health, at 1-866-653-3837 or visit bcbsm.com/prevent-diabetes.

Note: Patients with Medicare supplemental plans shouldn’t enroll through Solera. Diabetes Prevention Program providers should follow their normal CMS billing procedures for members with Medicare supplemental plans.

**Blue Cross Blue Shield of Michigan doesn’t own or control this website.