Medicare AdvantageCoverageMedium impact
24-256 Support Diabetic D-SNP Patients and Help Avoid Incorrect Billing
Health Net·CA · Endocrinology, Family Medicine, Internal Medicine +1 more·Pharmacy
We identified it
Jun 20, 2026
Summary
Wellcare By Health Net D-SNP now covers specific diabetic supplies (meters, test strips, lancets) with no copayment when both the Plan and Medi-Cal Rx cover the exact brands listed. Pharmacies must bill both Express Scripts and Medi-Cal Rx for proper coordination of benefits.
Action Required
Immediately: Update patient education materials and referral processes to inform D-SNP diabetic patients about covered diabetic supply brands (Accu-Chek, Freestyle, One Touch Verio, Precision Xtra, True Metrix). Coordinate with partner pharmacies to ensure they bill both Express Scripts (ESI) and Medi-Cal Rx for secondary claims. Train staff to direct patients to use only the specified brands to avoid copayments and billing issues.