Diabetes Pharmacy Benefit & Rewards

You, your spouse, and your dependents can earn cash rewards through a quarterly payroll payout to offset your diabetes medication and supply costs if you:

• Are a Cone Health medical plan member
  • Save Plan participants are eligible for rewards only after meeting their deductible. Also, diabetes medications (not supplies) are covered under the Safe Harbor benefit, which allows Save Plan members to get diabetes medications at the Traditional and Focus Plan copay before deductible is met.

• Participate in the Diabetes Condition Management program by our wellness partner ActiveHealth Management for diabetes support.
• Fill your prescriptions at a Cone Health Community Pharmacy.
• Use medications or supplies covered under the MedImpact pharmacy formulary
• Enroll in manufacturer copay assistance, when available, to help both you and Cone Health limit diabetes expenses. Ask the team at one of the Cone Health Community Pharmacies locations to help you enroll.

How the Program Works

When getting your diabetes medications at the pharmacy, you will pay for any cost that remains after the pharmacy applies eligible manufacturer copay cards.

1. Cone Health Community Pharmacy will report your total out-of-pocket costs for all approved diabetes prescriptions to payroll. You won't need to submit pharmacy receipts.
2. On one paycheck per quarter, you'll receive a reward equal to your costs (or those of your spouse or dependents) minus payroll taxes. The IRS classifies money reimbursed to you for healthcare expenses as taxable income.

Diabetes Supplies Covered

In addition to covering approved medications, the Diabetes Pharmacy Benefit and Rewards Program covers select test strips, lancets, pen needles, and syringes. Freestyle test strips and lancets are the preferred, covered products for testing blood glucose. If you use an insulin pump, the plan covers Contour test strips. You'll get pump supplies through your medical plan.