MEDICARE + PAYOR PLANS

Confidently navigate diabetes coverage with our insurance resources. You can access payer plans by state, and trust the rest to our Medicare specialists and prior authorization experts.

Need help with Medicare Medical Records Requirements for CGMs? Click here for required documentation, CMN forms, and step-by-step prescribing guidance.
*May offer Medicare and Medicare Advantage plans in certain states.

Advantra Health Plans*
Aetna*
AlaMeda
Allegiance Life & Health
Allied Benefit Systems, Inc.
Ambetter
American Health Management Services
American Insurance
Administrators, Inc.
American National Insurance Company
American PPO, Inc.
America’s Choice Provider Network
Ancillary Care Services
Anthem Blue Cross Blue Shield*
Assured Benefit Administrators
Blue Choice Health Plan*
Boon Chapman –
Aetna ASA Network
CareCentrix – American Postal Workers UnionHealth Plan*
CareCentrix – BlueCard*
CareCentrix – Federal Employee Plan (FEP)*
Centene Corporation*
CenterCare
Champ VA National*
CHCS Services, Inc.
ChoiceNet – Olympus Managed Healthcare, Inc.
Cigna Health Care*
Cigna Health Care – Great West*
Community Care Network
Community Partners Health Plans
CompAlliance
Consumer Health Network (CHN)
Coventry Health
DMC
Dmension
Easy Choice
Encore Health Network
Essence Healthcare of California*
First Health
First Priority Life Ins Co
Fortified Provider Network
Freedom Blue*
Fresenius Health Partners, Inc.
Group Health Plan, Inc
Healthnet*
Health One Alliance
HealthSmart Preferred Care
Heart of America Health Plan – Sanford Health Plan
HFN Network
HME Network
Homelink
Humana*
Imagine Health
Independent Holding Group
Health Solutions
Independent Medical Systems
Integra
InterGroup Services, Corp.
Mail Handlers Benefit Plan (MHBP)– part of the Aetna Network
Managed Care Ancillary Services (MCAS)
Medgroup
Medica
Medical Network, Inc. (MedNet)
Memorial Health Partners (MHP)
Meritain Health Plan – Aetna
Midlands Choice
Molina Health Plan*
Multiplan
Northwood
NovaNet, Inc.
Optum*
Oscar Health*
Owensboro Community Health Network (OCHN)
Pacific Health Alliance
Parkview Health Plan Services/Signature Care Network
Piedmont Community Health Plan
PPOPlus, LLC.
Pre-Existing Condition Insurance Plan (MHIP-PCIP)
PreferredOne (PAS, PCHP, PPO)
Priority Health
Procura
Provider Networks of America (PNOA)
ProviDRS Care Network
RailRoad Medicare National*
Santa Fe Employees Hospital Association-Coast Lines
Select Health*
Stratose – NPPN
The Health Plan
The Initial Group
Tricare – East Region – Humana Military*
Tricare – West Region – Health Net*
Trilogy Health Network / Trilogy Health Insurance, Inc. / US Health and Life Insurance Company (USHL)
TriWest Healthcare Alliance
Corp. (HMSA)
UMR*
Union Pacific Railroad Employees Health Systems
United Healthcare
United Healthcare National (Medicaid accesss may vary
by state)*
Upper Peninsula Health Plan (UPHP)
USA Managed Care Organization
US Health and Life
Verity HealthNet, LLC.
Wellcare*
Zing Health Plan*

Aetna Better Health of California*
Alamitos IPA
AllCare IPA
Allied Pacific IPA
Alpha Care Medical Group
Ameriben City of Mesa
American Benefit Plan
Administrators, Inc.
American Health Management Services, LLC
Amerigroup

of Arizona
of New Mexico
of Washington

Anthem Blue Cross

Blue Shield of Arizona*
of California*
Blue Shield of Colorado*
Blue Shield of Nevada*

AppleCare Medical Group
Arch Health Partners Medical Group
Arizona Foundation for Medical Care
Aspire Health Plan*
Atrio Health Plan of Oregon*
Banner Health of Arizona
Blue Cross Blue Shield

of Arizona*
of Montana*
of New Mexico*
of Wyoming*

Blue Cross of Idaho*
Blue Shield of California*
Blue Shield Promise*
Brand New Day*
Brookshire IPA
CalCare IPA
California Health & Wellness
California Kids Care (CCS through Rady Children’s)
CA Physicians Medical Group
CareCentrix – Arizona Care Network
Carefirst Blue Cross Blue Shield
CareOregon*
CCS Medi-Cal (Children Plan only)
CenCal
Centene Corporation

Bridgeway Health Solutions, inc.
California Health and Wellness Plan (Celtic Insurance Company)
Coordinated Care Corporation (Ambetter WA)
Health Net Access, Inc*
Health Net Community Solutions, Inc.*
Health Net Health Plan of Oregon, Inc.*
Health Net Life Insurance Company, Inc.*
Health Net of Arizona, Inc., d/b/a Arizona Complete Health
Health Net of Arizona, Inc., d/b/a Arizona Complete Health (Allwell)*
Health Net of Arizona, Inc., d/b/a Arizona Complete Health (Ambetter)
Health Net of California, Inc.*
Health Smart Preferred Care II, L.P.
SilverSummit Healthplan, Inc. (Ambetter)*
Trillium Community Health Plan, Inc.*
WellCare of Arizona*
WellCare of Hawaii dba ‘Ohana Health Plan, Inc.*
WellCare of California*
WellCare of Washington*
Western Sky

Community Care, Inc. (Ambetter)
Children’s Physicians Medical Group (Rady’s Children’s)
CHOC Physicians Network (CHOC Health Alliance)
Choice Medical Group
Christus Health Plan – US Family Health Plan (USFHP)*
Clear Springs Health
Clevel Care of Golden States Inc
Clover Health*
Coast Healthcare
Eastern Oregon CCO
Easy Choice*
Edinger Medical Group
Essence Healthcare of California*
First Choice Health Network, Inc.
First Choice Network
Fountain Valley IPA
Fresno Community Physicians
Friday Health Plan*
Gateway Medical Group
Genesis Healthcare of Southern California
Golden State Health Plan
Good Samaritan IPA
Greater Tri Cities IPA
Group Health Cooperative in Seattle – GHO PPO
Health Excel IPA
Healthfirst Nevada
HealthNet of California*
Health Plan of Nevada*
Health Plan of San Mateo
Healthcare Partners of Nevada
HMSA Blue Cross Blue Shield Hawaii*
Hollywood Presbyterian Hospital/Conifer
Homelink – Altius Health Plans – ID
Homelink – Altius Health Plans – WY
Hometown Health of Nevada
Imperial Health Holdings
Inland Empire Health Plan*
Inland Faculty Medical Group
InterWest Health
Lakewood IPA
Loma Linda University Medical Plan
Los Angeles Medical Center IPA
Marin General Hospital
(Western Health Advantage)

Medicaid

of Alaska
of Arizona
of California
of Colorado
of Hawaii
of Idaho
of Montana
of Nevada
of New Mexico
of Oregon
of Utah
of Washington
of Wyoming

MedPoint Management
Memorial Care
Mercy Physicians Medical Group
Meritage Medical Group
Modesto Medical Center/Tenet

Molina

of California*
of Idaho*
of New Mexico*
of Washington*

Montana Health CO-OP
Multiplan – Kaiser Permanente Colorado
New Mexico Health Connections
Oscar Health AZ*
Oscar Health CA*
Oscar Health CO*
PacificSource*
Partnership Health Plan
Premera BlueCross*
Primary Health of Josephine County
PrimeCare Medical Group of Chino Valley Inc.
Prominence Health Plan Nevada*
Prospect Medical Group of Arizona
River City Medical Group
Rocky Mountain Health Plans (UHC)*
Samaritan Health Plan of Oregon*
Santé Community Physicians
Scripps Health Plan
Scripps Health System
Select Health*
Sharp Health Plan*
Silver Summit Health Plan*
So. Ca. Physicians
StarCare Medical Group
St. Francis Medical Center
St. Mary’s IPA
St. Vincent IPA
Sutter Health System*
Tricare – West – HealthNet*
True Health – New Mexico*
Colorado, Utah*
UC Irvine Medical Group
UCSD Medical Group
United Physicians Network
Valley Presbyterian Hospital/Conifer
Vantage Medical Group
Vibra Health

Aetna Better Health

Illinois (formally known as Illinicare)*
Michigan (CountryCares of Michigan)*
of Kansas*
of Ohio*

American Health Management Services, LLC
Amerigroup of Iowa
AmeriHealth Caritas Michigan
Anthem Blue Cross Blue Shield

of Indiana*
of Missouri*
of Ohio*
of Wisconsin*

Arbor Health Plan
ASR Health Benefits – Michigan
Assured Benefit Administrators
Blue Cross Blue Shield

of Illinois*
of Kansas*
of Kansas City*
of Michigan*
of Minnesota*

CareSource – Indiana
Care Wisconsin First, Inc.
Centene Corporation

Buckeye Community Health Plan, Inc. (Ambetter)
Buckeye Health Plan Community Solutions, Inc.*
Celtic Insurance Company (Ambetter of Illinois)*
Centene Venture Company Illinois (Ascension Complete)*
Centene Venture Company Indiana (Ascension Complete)*
Centene Venture Company Kansas (Ascension Complete)*
Centene Venture Company Michigan (Ascension Complete)*
Coordinated Care Corporation, dba Managed Health Services – IN (Ambetter)*
Harmony Health Plan, Inc.*
Home State Health Plan, Inc. (Ambetter)*
Iowa Total Care, Inc.*
Managed Health Services Insurance Corporation
Meridian Health Plan of Illinois, Inc.*
Meridian Health Plan of Michigan, Inc. (Ambetter)*
Michigan Complete Health, Inc.*
Nebraska Total Care, Inc.
Sunflower State Health Plan, Inc. (AllWell & Ambetter)*
Wellcare of Illinois*
Wellcare of Indiana*
Wellcare of Kansas*
Wellcare of Michigan*
Wellcare of Missouri*
Wellcare of Ohio*

Children’s Special Health Care Services Plan
Children’s Special Health Care Services Plan Community Care Alliance of Illinois
Clear Springs Health*
Common Ground Health Cooperative, Inc. (WI)*
Community Care, Inc.
Community Health Direct Network
Group Health Cooperative – Eau Claire
Group Health Cooperative – South Central Wisconsin*
Health Alliance Plan of Michigan (HAP)*
Health Choice of Northwest Missouri
HealthPlus Insurance – Michigan
HealthSpan Ohio*
Healthy Blue Nebraska*
Hennepin Health*
Homelink – Accountable Health Plans of Ohio (AHPO)
Homelink – Coventry Health Care of Illinois
Homelink – Coventry Health Care of Missouri
Hope Trust
Inclusa – Forward Health
Indiana University Health Plan*
Integra – MissouriCare
ISU-Illinois State University
(student health plan)
ITASCA Medical Care
Lasso Healthcare*
McLaren Health Plan, Inc.*
MDWise*
Medica*
Medicaid

of Illinois
of Indiana
of Iowa
of Kansas
of Michigan
of Minnesota
of Missouri
of Nebraska
of North Dakota
of Ohio
of South Dakota
of Wisconsin

Medical Associates Health Plan
Medical Mutual of Ohio*
MediGold-OH*
Meridian Health Plan of Illinois*
Meridian Health Plan of Michigan*
Molina Healthcare

of Illinois*
of Ohio*
of Wisconsin*

Mount Carmel Health Plan
Multiplan – Auxiant Wisconsin
Multiplan – Northern Illinois
Health Plan
My Choice Family Care
My Choice Wisconsin
Nebraska Total Care
Network Health*
Northwood – Blue Cross Blue Shield of Michigan
Northwood – Security Health Plan of Wisconsin
OH Bureau of Workers Comp
Ohio Health Choice – Ohio PPO Connect
Oscar Health

Paramount Health Care*
Personal Care of Illinois, Inc.
(a.k.a Covertry HealthCare of Illinois)
Preferred Health Choice (Ohio Health Choice)
PreferredOne
PrimeWest Health
Quartz Health Solutions, Inc*
Sanford Health Plan*
SIHO Insurance (Indiana & Illinois)*
State of Ohio Dept of Health Bureau for Children with medical Handicaps
Sunflower State Health Plan
Tricare*
Ucare*
Wellmark Blue Cross Blue Shield
Western Wisconsin Cares
Zing Health Plan*

Access Health Services, LLC

Aetna Better Health

Florida*
Kentucky*
Texas*
Virginia*
West Virginia*

Alliance Coal
Allied Benefit Systems
Alterwood Health Management Company
American Health Management Services, LLC
Amerigroup

Community Care – Florida*
of Maryland*
of Tennessee*
Texas (Texas True Choice)*

AmeriHealth Caritas – North Carolina*
Ancillary Care Services
Anthem Blue Cross Blue Shield

of Georgia*
of Kentucky*
of Virginia*

Ascension Complete Texas
Baptist Health Plan (Bluegrass Family Health, Inc.)
Baycare*
Baylor Scott and White Health Plan (Tx)*
Blue Care Tennessee
Blue Cross Blue Shield

of Alabama*
of Arkansas*
of Louisiana (Key and PPO plans)*
of Mississippi (Advanced Health Systems Only)*
of North Carolina*
of South Carolina*
of Texas*
of Vermont*

Blue Hen Advantage Inc (Alterwood Health)
CareFirst Blue Cross Blue Shield
Care N’ Care
CareSource

Georgia*
Kentucky*
West Virginia*

Centene Corporation

Absolute Total Care, Inc. (Ambetter)*
Allwell from Arkansas Health & Wellness*
Allwell from Peach State, Inc.*
Ambetter from Arkansas Health & Wellness*
Ambetter of Magnolia, Inc.*
Ambetter of North Carolina, Inc.*
Ambetter of Peach State, Inc.*
Arkansas Total Care, Inc. (NovaSys Health, Inc)*
Carolina Complete Health, Inc.*
Celtic Insurance Company (Ambetter of Tennessee, Inc.)
Celtic Insurance Company Texas
Centene Venture Company – Alabama Health Plan, Inc.
Centene Venture Company – Florida (Ascension Complete)
Centene Venture Company Tennessee (Ascension Complete)
Louisiana Healthcare Connections, Inc.
Magnolia Health Plan, Inc.*
Peach State Health Plan, Inc.*
QCA Health Plan, Inc.*
QualChoice Life and Health Insurance Company, Inc. (NovaSys Health, Inc)
SelectCare Health Plans, Inc.*
SelectCare of Texas, Inc.*
Sunshine Health Plan Community Solutions, Inc. (AllWell)*
Sunshine State Health Plan, Inc. (a.k.a Ambetter of Florida)*
Superior HealthPlan Community Solutions, Inc.
Superior Healthplan, Inc. (Ambetter)
WellCare Health Insurance Company of America*
WellCare National Health Insurance Company*
Wellcare of Alabama*
Wellcare of Arkansas*
Wellcare of Florida dba Staywell Health Plan, Inc.*
Wellcare of Georgia*
Wellcare of Kentucky*
Wellcare of Louisiana*
Wellcare of Mississippi*
Wellcare of North Carolina*
Wellcare of Oklahoma*
Wellcare of South Carolina*
Wellcare of Tennessee*
Wellcare of Texas*
Wellcare of Vermont*
Wellcare of Virginia*
Wellcare of West Virginia*

Christus Health Plan – US Family Health Plan*
Clear Springs Health
Clover Health Plan*
Coastal Care

Community Care Plan – Region 19 for MMA – Region 9 & 11 for MA
Magellan Complete Care –Region 4,5 & 7 only
Miami Children – Region 9 & 11 only
MMM of Florida – Region 9, 10 & 11 only
Molina Healthcare of Florida –Region 8 & 11 only
Prestige Health Plan – Region 9 & 11 only
Staywell of Florida – Region 8-11no CMS patients
Vivida Health Plan – Region 8 MMA only

Community Care Network – Kentucky
Community Care of Oklahoma
Community Care Plan
Coventry Health
DE Health Advantage
Delaware Life Insurance Company
EON Health
Evergreen Health
First Choice Health Plan

of Alabama*
of Louisiana*
of Mississippi*
of Tennessee*

Friday Health Plan*
Global Health Plan of Oklahoma*
Global Health Plan of Texas*
HealthChoice Oklahoma*
Healthfirst Texas
Healthy Blue Louisiana*
Healthy Blue North Carolina*
Highmark Blue Cross Blue Shield*
Highmark Blue Cross Blue Shield Delaware – Health Options*
Homelink

CoventryCares of West Virginia
Coventry Health Care of Virginia
CoventryOne – Texas
CoventryOne – Virginia

HP of West Virginia
Independent Living Systems
Integrated Home Care Services
Integra – Windsor Health Plan*
Martins Points
MD Health Advantage Inc (Alterwood Health)
Medgroup – MPI Texas Choice Network (TTC)
Medicaid

of Alabama
of Arkansas
of Delaware
of Florida
of Kentucky
of Louisiana
of Maryland
of Mississippi
of North Carolina
of Oklahoma
of South Carolina
of Texas
of Vermont
of Virginia
of West Virginia

Medical Associates Health Plan
Molina Healthcare

of Kentucky (Passport Health Plan)*
of Mississippi*
of South Carolina*
of Texas, Inc.*

Multiplan – Kentucky Health Administrators, LLC
North Carolina State Health Plan
Nuestra Familia Medical Group
Optima Health Plan
Oscar Health

Plan Vista Solutions (aka NPPN)
Prestige Health Choice* (regions not covered under Coastal Care)

Prime Health Services
Prominence Health Plan
Pruitt Health Premier
Reliacare – Arkansas Superior
Select, Inc.
Rockport Healthcare Group*
Scott & White Health Plans*
Select Health*
South Florida Community Care Network*
Superior Health Plans*
Team Choice
Tricare*
UF Ped -I- Care
Ultimate Health Plan
Unicare Health Plan of West Virginia*
Verity HealthNet LLC
Virginia Premier Health Plan*
VIVA Health, INC.*

Aetna Better Health – Pennsylvania*
AllWays Health Partners, inc dba Mass General Brigham Health Plan*
American National Insurance Company
Amerigroup IPA of New York*
Amerigroup New Jersey*
AmeriHealth Caritas New Hampshire*
Anthem Blue Cross Blue Shield

of Connecticut*
of Maine*
of Massachusetts*
of New Hampshire*

Blue Cross Blue Shield

of Rhode Island*
of Western New York (HealthNow New York, Inc.)*
Blue Shield of Northeastern New York (HealthNow New York, Inc.)*

CareCentrix – Horizon Blue Cross Blue Shield / Braven Health*
Centene Corporation

American Progressive Life and Health Insurance Company of New York*
Celtic Insurance Company New Hampshire
Granite State Health Plan, Inc.*
Pennsylvania Health & Wellness, Inc. (Ambetter)*
Wellcare of Connecticut*
Wellcare of Maine*
Wellcare of Massachussetts*
Wellcare of New Hampshire*
Wellcare of New Jersey*
Wellcare of New York*
Wellcare of Rhode Island*

Central Mass Health (Mass Advantage)*
Empire Blue Cross Blue Shield of NY*
Excellus Blue Cross Blue Shield*
Fidelis Care, Inc.*
First Health Network
Gateway Health Plan*
Geisinger Health Plan*
Granite State Health Plan*
Highmark Blue Cross Blue Shield*
Horizon NJ Health*
Independence Care Systems*
Independent Health Association, Inc.*

Integra

Aetna Better Health –
New York
Aetna New Jersey
Affinity New York
(Bronx Health Plan)
Agewell of New York
ArchCare
Crystal Run
Group Health Insurance (GHI)
GuildNet, Inc.
Hamaspik Choice
HIP, an Emblem
Health Company
Magellan of Massachusetts
MetroPlus Health Plan, Inc.
Tufts Health Public
Plans, Inc.

Martins Point Healthcare
Medicaid

of Connecticut
of Maine
of Massachusetts
of New Hampshire
of New Jersey
of New York
of Pennsylvania
of Rhode Island

New Hampshire Healthy Families
Northwell Direct
Northwood

Boston Medical
Center Health Plan (BMC)
Health New
England (HNE)
Well Sense
of NH Health Plan

Oscar Health

Partners Health Plan*
POMCO
Tricare
Vibra Health Plans
VNS Choice*

Better Service, Better Care.™ Better Solutions.

ADS offers superior diabetes supply solutions with no out-of-pocket costs for most Medicare Part B and D patients. Our members see 23% higher adherence to CGM therapy vs. pharmacy.* With 20+ years of experience and 83% nationwide insurance coverage, ADS provides streamlined ePrescribing with less paperwork. Our Member Success Team delivers personalized support, and NABP, ACHC, and URAC accredit ADS for trusted service.

MEDICARE + PAYOR PLANS

Confidently navigate diabetes coverage with our insurance resources. You can access payer plans by state, and trust the rest to our Medicare specialists and prior authorization experts.

Better Service, Better Care.™ Better Solutions.

QUICK LINKS

RESOURCE HUB

MEDICARE + PAYOR PLANS

Confidently navigate diabetes coverage with our insurance resources. You can access payer plans by state, and trust the rest to our Medicare specialists and prior authorization experts.

Better Service, Better Care.™ Better Solutions.

Let's Get Started