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Preventing Type 2 Diabetes :: Health Insurance Coverage

Health Insurance Coverage

Below is an overview of the national landscape for health insurance coverage for the National Diabetes Prevention Program. 

Employers

Employers are exploring options on ways to decrease health care costs and improve the health of their employees. National partnerships are being formed to educate employers about this benefit and how it can impact their employee population. 

States Employee Benefit Coverage

Within states, the state is usually the largest employer. State employee benefit plans have an opportunity to cover many lives with the National Diabetes Prevention Program and reduce costs and improve employee health. 

States that currently (updated August 2015) offer the National Diabetes Prevention Program as a Benefit: 
  • Colorado
  • Kentucky
  • Louisiana
  • Maine
  • Minnesota 
  • New Hampshire
  • Ohio
  • Washington

Many others state employee health benefit plans are in the process of considering adding this service as a covered health benefit.


Medicaid

State Medicaid programs are challenged with rising health care costs. National partnerships are being formed to educate Medicaid directors about the National Diabetes Prevention Program. 

State Medicaid Programs that cover the National Diabetes Prevention Program:
  • Montana


Medicare

Currently Medicare does not cover the National Diabetes Prevention Program. However, national partners are working together to educate Congress about the benefits and costs savings to Medicare if this evidence-based program was available to Medicare beneficiaries; bills have been introduced to have Medicare cover this service. The Diabetes Advocacy Alliance is leading this charge. NACDD is a member of this Alliance. Read more about the cost savings.

Bills in Congress
Medicare Diabetes Prevention Act of 2013 –
This Act expands the proven, community-based prevention program, the National Diabetes Prevention Program, as a covered benefit under Medicare to help seniors prevent type 2 diabetes. The National DPP is based on proven interventions that have shown that older adults can lower their risk of developing type 2 diabetes by more than 70 percent.

H.R. 962 – March 5, 2013

S. 452 – March 5, 2013


Commercial Insurance

Since 2010 health insurance companies have been offering the National Diabetes Prevention Program as a health benefit. United HealthGroup was the first health plan to cover this service and since then, several other insurers have added this service as a covered benefit.