Frequently asked questions

Our wellness program provides coaching support to help improve the health of members with Type 2 diabetes. The goal of the program is to educate and assist members in managing their diabetes, reducing complications, and eliminating their costs for covered diabetes medication and supplies.

Baylor Scott & White Health Plan members of large employer groups, or their dependents, who are at least 18 years old with Type 2 diabetes, may apply for the program. Exception: Members enrolled in an HSA-eligible High Deductible Health Plan (HDHP) are not eligible for the program.

• Meet with your health coach within two months of program start date
• Complete eight virtual coaching visits within nine months
• Complete annual health activities to include required labs and a provider visit

You get additional support for managing your condition. If you apply, complete initial health activities, and meet all program requirements, your copays for covered diabetes medications and testing supplies will be waived ($0 copayments) for up to a year. You will be eligible for a free blood glucose monitor and the mySugr app to help track your blood sugar. You will be referred to a BSW Be Well™ coach for eight virtual sessions, as part of your required health activities, to help you meet your health goals. You can also speak with a clinical pharmacist in our program to help answer questions about your medications.

Yes. All eligible members may apply for the program

No. BSW Be Well™ with Diabetes will supplement your other healthcare providers’ efforts to help you improve quality of life while living with diabetes.

The program begins on Jan. 15 and July 15 each year. You may enroll up to the program start date. However, copay waivers will not be effective until it is confirmed that the qualifications have been met, which may be after the start date for late enrollees.

Step 1: Enroll

• Complete and submit the application form online at BSWHealthPlan.com/BeWell/Diabetes, OR
• Download the form and email the completed form to BSWHPDiabetesProgram@BSWHealth.org

Step 2: Complete or schedule these initial health requirements by the date the program begins (Jan. 15 or July 15)

• Provider visit
• Hemoglobin A1C test
• Lipid panel/cholesterol tests
• Urine test for protein

Visits or tests completed within the 12 months prior to the program start date will qualify. You are responsible for copays and other costs associated with your provider visit and lab work.

If your provider and lab work are NOT done in a Baylor Scott & White clinic or facility, your provider should fax your lab results and documentation of your visit to 254.298.6187 or email to BSWHPDiabetesProgram@BSWHealth.org

The American Diabetes Association and American Association of Clinical Endocrinologists set these standard guidelines for excellent care of Type 2 Diabetes.

No. You can submit your application form to get the process started; however, required tests must be completed or scheduled within two months after the program start date of Jan. 15 or July 15. If you miss the deadline, another application window occurs every 6 months.

Ask your provider to schedule the labs or appointment for you. If you need additional assistance, reach out to BSW Case Management at CaseManagement@BSWHealth.org.

• If your provider visit and lab work ARE done at a Baylor Scott & White clinic or facility, your results will be available to us automatically. You can document your provider visit and lab work on the application form. Any updated requirements can be emailed to BSWHPDiabetesProgram@BSWHealth.org
• If your provider visit and lab work ARE NOT done at a Baylor Scott & White clinic or facility, your provider should fax your lab results and documentation of your visit to 254.298.6187 or email to BSWHPDiabetesProgram@BSWHealth.org

Coaching sessions are provided virtually. You will meet with your coach through an app or website that will be provided by your health coach.

You can fill your prescriptions for covered medication(s)/supplies at the pharmacy you currently use or any network pharmacy.

The $0 copays are limited to prescription diabetes drugs and supplies that are FDA-approved for the treatment of Type 2 Diabetes and are covered under the member’s pharmacy benefit. Requirements for receiving covered prescription medications (such as prior authorization) and limitations and exclusions for the member’s benefit plan (such as prescription quantity limits and step therapy) continue to apply. Refer to your drug formulary located at BSWHealthPlan.com/Pharmacy. Note: You will need a prescription for the supplies in order for them to be covered.

No. Your pharmacy coverage will be updated automatically. There is not a separate BSW Be Well™ with Diabetes member card.

No. The $0 copay will be applied at the pharmacy. You will not need to submit a claim form to request any reimbursement.

No. There is no annual limit. Your medications and supplies will be filled at their usual 30- or 90-day supplies.

Call Baylor Scott & White Health Plan Pharmacy Customer Service at 800.728.7947