Tips & Tools to Live Healthier with Diabetes!

We're excited to introduce the new Diabetes Education Center where members can find tips and tools for managing their diabetes.

View Diabetes Resources

Your Coverage

As a Qualified Health Plan member you can:

  • See a doctor who will help coordinate all your healthcare
  • See specialists (doctors who have extra training in an area of medicine, such as cardiology, dermatology, or pediatrics)
  • Speak with a nurse for your health questions 24/7
  • Go to in-network hospitals for treatment
  • Fill a prescription at your local pharmacy. See which prescription and over-the-counter drugs are covered on your plan.
  • ER visits when you have an emergency
  • Get care before and after your baby is born
  • Get well-care for your child
  • Get extra help for special conditions like asthma and diabetes
  • Get access to mental health and substance abuse services

What else is covered?

  • Check out FREE extra benefits for members, including money back on your yearly fitness center and Weight Watchers® memberships and discounts on eye wear.
  • FREE programs to help you stop smoking
  • FREE access to our 24/7 Nurse Advice line and Behavioral Health/Substance use hotline in case you need help or have questions

Treatment Cost Estimator

You can now estimate costs for common procedures using our Treatment Cost Estimator. This tool shows you the costs covered by your health plan and the portion you would pay based on your plan benefits. This information will help you work with your doctor to make informed decisions about your treatment plan.

Log in to the Member Portal to see treatment costs.

You can also call us at 855-833-8120 (TTY: 711) for a cost estimate, or print the Cost Estimate Worksheet to fill out with your provider. Once the form is completed, you or your provider will need to send it to us for a cost estimate. 

If you qualify as an American Indian/Native Alaskan you may be eligible to have your cost share (deductible, copay and coinsurance) waived if you:

  • Have an income that is at or below federal standards for cost-share waivers; or
  • Are using a qualified Indian health care Provider for your healthcare services – in which case cost share may be waived when obtaining services from that Provider.

Some procedures or services require prior authorization, or prior approval, from us. You or your doctor may confirm if the service requires a prior authorization by checking our Medical Procedure Code Lookup Tool or our Supplies and Services Code Lookup Tool.

We're always working to improve the quality of our services for members. If you're interested in learning more, you can read our Quality Improvement Work Plan Evaluation.