TLC Benefit Solutions, Inc. partnered with Chancy Drugs for the new Wellness Diabetes Management Program. The program is for employees and family members who have been diagnosed with diabetes and associated chronic disease states. Participants will meet with a Health Advocate and/or pharmacist to help manage their chronic conditions. All information exchanged with your Health Advocate and/or pharmacist is confidential and privacy is a priority.
Please note that if you are a diabetic and you choose not to participate in this program, you will be assessed a surcharge of $40.00 per month to your health insurance premium.
Benefits of the program include:
$5.00 co-pay for all diabetic medications and testing supplies as well as medications to treat associated chronic diseases, which include: hypertension (high blood pressure), hyperlipidemia (high cholesterol), asthma, and cardiovascular diseases
Glucose meters will be provided free of charge, one per year
Regular A1C screenings free of charge
A comprehensive medical review of program participant’s medications will be performed
Educational opportunities free of charge
One-on-one meetings with the Health Advocate in a private and secure environment to assess participant’s progress and opportunities for improvement
Requirements of the program include:
All medications must be filled at Chancy Drugs in Valdosta. Qualified medications can be mailed
Participate in one educational event per quarter covering nutrition, general diabetes, exercise, blood sugar readings and impaired healing. The following education events are approved for this program:
Take A1C as required
Monitor blood sugar before eating breakfast and two hours after supper. Patients with Type 1 diabetes may require readings up to 8 times daily. Physicians may have patients that have difficulty controlling their blood sugar test more frequently or at different times of the day. Provide your readings to Chancy Drugs
All remote monitoring equipment must be returned to the Company if you choose to leave the program.
This exciting new program is free to you as part of your health plan and we hope that you will take full advantage of the many benefits it offers. Participation in the program is voluntary and confidential. Please contact your Health Advocate or TLC Benefit Solutions (229-249-0940) should you have any questions.
|Diabetes Management Pharmacy Benefits|
|The following benefits apply to medications that treat the following conditions: Diabetes, Hypertension (high blood pressure), Hyperlipidemia (high cholesterol), Asthma, and Cardiovascular Disease; and you are a Diabetic.|
|Preferred Network* 34 Day Supply||Non-Preferred Network 34 Day Supply|
|Tier 1 - Generics||$5||Tier 1 - Generics||Not Covered|
|Tier 2 - Preferred Brands (Formulary Brands)||$5||Tier 2 - Preferred Brands (Formulary Brands)||Not Covered|
|Tier 3 - Non-Preferred Brands (Non Formulary Brands)||$5||Tier 3 - Non-Preferred Brands (Non Formulary Brands)||Not Covered|
|Compound Drugs**||$25||Compound Drugs||Not Covered|
|Specialty Drugs||$100||Specialty Drugs||Not Covered|
|* Members have to participate in the Diabetes Management Program to qualify for these benefits. ** Not to exceed $250 in drug cost. Must be filled at Chancy Drugs pharmacy stores.|
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Please Note: Flexible Spending Accounts and Vision Insurance are not administered by TLC.