2025 Diabetic Monitoring Supplies
Central Health Medicare Plan’s preferred glucometers include True Metrix Blood Glucose Meter and True Metrix Air Blood Glucose Meter. True Metrix Blood Glucose Test Strips are the preferred test strips. Continuous Glucose Monitors (CGMs) are also available with a Prior Authorization (PA).
Preferred products include the following:
• Freestyle Libre 2 receiver and sensors
• Freestyle Libre 3 receiver and sensors
• Dexcom G6 receiver, sensor, and transmitter
• Dexcom G7 receiver, sensor, and transmitter
If you need a refill of your diabetic supplies, you can use any in-network retail pharmacy. To get current information about Central Health Medicare Plan’s network pharmacies, in your area, please review the Pharmacy Directory or call our Member Services Department at 1-800-665-3086 or, for TTY users, 711, 7 days a week, 8:00 AM. to 8:00 PM.
Frequently Asked Questions
Can I go to my local pharmacy to obtain my diabetic supplies?
Yes, your diabetic supplies can be picked up at any in-network retail pharmacy.
What information is needed to get a CGM approved?
We will need to see that you are either on insulin or have had multiple cases of low blood sugar.
Central Health Medicare Plan follows Centers for Medicare and Medicaid Services (CMS) criteria for preferred CGM approval.
How do I use my new meter?
Enclosed with your new meter, you will find a quick reference guide on how to use your new meter.
If you would like to speak to a live person, you can either talk to your local pharmacist or call
the Trividia Customer Care Team at 1-800-803-6025 available Monday - Friday 8:00 A.M. to 8:00 P.M. (ET).
How to ask for an appeal with Central Health Medicare Plan
Step 1: You, your representative, or your doctor must ask us for an appeal. Your written request must include:
• Your name
• Address
• Member number
• Reasons for appealing
• Whether you want a Standard or Fast Appeal (for a Fast Appeal, explain why you need one).
• Any evidence you want us to review, such as medical records, doctors’ letters (such as a
doctor’s supporting statement if you request a fast appeal), or other information that explains why you need the Part B Drug. Call your doctor if you need this information.
If you’re asking for an appeal and missed the deadline, you may ask for an extension and should include your reason for being late.
We recommend keeping a copy of everything you send us for your records.
Step 2: Mail, fax, or deliver your appeal. You can also call us or submit your appeal electronically.
For a Standard Appeal:
Mailing Address:
Central Health Medicare Plan ATTN: Member Services
7050 Union Park Center Suite 600
Midvale, UT 84047
Phone: 1-800-665-3086
Fax: 1-866-290-1309
Website: www.centralhealthplan.com
If you ask for a standard appeal by phone, we will send you a letter confirming what you told us.
For a Fast Appeal:
Phone: 1.800.665.3086
TTY Users Call: 711
Website: www.centralhealthplan.com
What happens next?
If you ask for an appeal and we continue to deny your request for a Part B Drug, we’ll
automatically send your case to an independent reviewer. If the independent reviewer denies your request, the written decision will explain if you have additional appeal rights.
Get help & more information
Central Health Medicare Plan Toll Free: 1-800-665-3086 TTY users call: 1-800-346-4128 Hours of Operation: 24 hours a day, 7 days a week (including holidays) or www.centralhealthplan.com
• 1-800-MEDICARE (1-800-633-4227), 24 hours, 7 days a week. TTY users call:1-877-486-2048
• Medicare Rights Center: 1-888-HMO-9050
• Elder Care Locator: 1-800-677-1116 or https://eldercare.acl.gov/Public/Index.aspx to find help in your community.
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