Islets of Hope state diabetes insurance coverage laws
Information for this article was compiled and edited by Lahle A. Wolfe, Islets of Hope.
This information for general information purposes only.
It is not intended to be used a recommendation or endorse- ment of any program or entity
This information is not intended to serve as any form of medical or legal advice.
Government Accountability Office (GAO) report number GAO-05-210 entitled "Managing Diabetes: Health Plan Coverage of Services and Supplies;" released on March 28, 2005.
Arkansas - State Diabetes Insurance Coverage Laws
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Arkansas Insurance Department - (800) 282-9134 - Arkansas state law allows health insurance companies to turn people down for individual health insurance coverage based on a medical or health condition. For private (individual) policies diabetes is usually considered an “uninsurable” condition. However, if you have group health (i.e., through your employer) you cannot be denied coverage for diabetes care.
If you are having a problem getting diabetes coverage with a state-regulated health plan and you are unable to resolve it with the plan directly, file a complaint with the Arkansas Insurance Department. They may be able to provide you with assistance in reaching a conclusion.
Arkansas Comprehensive Health Insurance Pool - Phone 1-800-285-6477. If you are unable to get insurance coverage on your own you may be able to qualify for the Arkansas high-risk insurance pool.
Arkansas has state-mandated diabetes coverage laws.
Rule and Regulation 70; Diabetes Self-Management Act of 1997 - provides for diabetes insurance coverage for education, care, supplies, and equipment.
Summary of Provisions
Rule and Regulation 70; Diabetes Self-Management Act of 1997
Section 8. Equipment, Supplies and Appliances
Health insurance policies shall provide coverage in accordance with Section 6(c), for the equipment, supplies and services listed in this section prescribed by an insured's physician licensed under Ark. Code Ann. §§17-19-95-201, et seq., which are medically necessary for the treatment of diabetes mellitus, including and not limited to Type 1, Type 2, and gestational diabetes.
(1) Blood glucose monitors, which include all commercially available blood glucose monitors designed for patient use and for persons who have been diagnosed with diabetes;
(2) Blood glucose monitors for the legally blind, which include all commercially available blood glucose monitors designed for patient use with adaptive devices and for persons who are legally blind and have been diagnosed with diabetes;
(3) Test strips for glucose monitors, which include all test strips approved by the Federal Food and Drug Administration, glucose control solutions, lancet devices, and lancets for monitoring glycemic control;
(4) Visual reading and urine testing strips, which include visual reading strips for glucose, urine testing strips for ketones, or urine test strips for both glucose and ketones. Urine test strips for glucose only are not acceptable as the sole method of monitoring;
(5) Insulin, which includes all commercially available insulin preparations including insulin analog preparations available in either vial or cartridge;
(6) Injection aids, which include devices used to assist with insulin injection;
(7) Syringes, which include insulin syringes, pen-like insulin injection devices, pen needles for pen-like insulin injection devices;
(8) Insulin pumps as prescribed by the physician and appurtenances thereto, which include insulin infusion pumps and supplies such as skin preparations, adhesive supplies, infusion sets, cartridges, batteries and other disposable supplies needed to maintain insulin pump therapy. These include durable and disposable devices used to assist in the injection of insulin;
(9) Oral agents for controlling the blood sugar level, which are prescription drugs;
(10) Podiatric appliances for prevention of complications associated with diabetes, which include therapeutic molded or depth-inlay shoes, replacement inserts, preventive devices, and shoe modifications for prevention and treatment; and
(11) Glucagon Emergency Kits and injectable glucagon.
Page Updated 07/14/2007