Did you know PEIA offers a Face-to-Face Diabetes Program for PEIA PPB Plan members who have diabetes? Interested members can apply online at www.peiaf2f.com.
When applying, you will select a F2F program provider, this provider is different from your regular physician and will provide counseling and education along with one-on-one diabetes care coordination during scheduled visits.
Under the program, participants sign an agreement to make regular visits (in-person or via video or phone conference) to the participating provider of their choosing for diabetes counseling. This counseling helps participants get the best diabetes care available as the provider works with them.
F2F Program Providers help ensure participants:
members who are compliant with the program requirements receive waived
co-payments for some diabetes-related prescription drugs and
supplies. Please see the Face-to-Face List of Waived Copayments for approved medications and supplies. Participants must use a Retail Maintenance Network pharmacy to receive the waived co-payment benefit. Participants who use Mail Order will not be eligible for the waived co-payments. Participants are responsible for their annual deductible and will pay 75% co-insurance for any non-preferred medications.
Program requirements include, but are not limited to:
● Activate, complete and return an at-home fingerstick test quarterly within 21 days of the date sent to the participant. ● Provide the most recent quarterly fingerstick Hemoglobin A1c (HbA1c) lab value by fax, email, mail or drop off to the F2F provider prior to the initial visit and quarterly visits thereafter. If lab results are not provided, the F2F visit will be rescheduled.● Contact the F2F provider and schedule all visits, monthly for first three months then quarterly for the remainder of the program.
This program is limited to a lifetime maximum of 2 years or two attempts. If the participant fails to complete the full two years in the first attempt, they may apply for a second attempt after a 12-month waiting period. Second-attempt participants are eligible for a maximum of one year (12 months) if they remain compliant with the program requirements.
Upon completion of the program, the participant will graduate and will have exhausted their lifetime benefit for the program. Program graduates and those who are disenrolled from the program no longer receive waived co-payments for their diabetes-related prescriptions and supplies.
FreeStyle and OneTouch brand meters and test strips are currently the preferred blood glucose products. Please see the flyers below for more information on how to obtain a free meter. Free OneTouch Verio Reflect/Verio Flex MeterFree OneTouch Verio Reflect/Verio Flex Meter Free FreeStyle Lite/Freedom Lite Meter
PEIA’s Face-to-Face (F2F) Diabetes Program is always looking for new providers. If you are a pharmacist who wishes to participate with the program by offering valuable counseling to our members, but you are not certified through APhA’s The Pharmacist & Patient-Centered Diabetes Care, please contact PEIA’s Face-to-Face Diabetes Program Manager, Jenny Manhart at email@example.com for information.