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South Carolina Medicaid: Managing diabetes

If you have diabetes, you're not alone. More than 100 million U. S. adults are living with diabetes or prediabetes, according to the Centers for Disease Control and Prevention (CDC).
Medicaid member cooks healthy meal

Diabetes

According to the Centers for Disease Control and Prevention1, as of 2015:

  • 30.4 million Americans, 9.4 percent of the U.S. population, have diabetes, and
  • 84.1 million have prediabetes

Diabetes is a serious condition. It can lead to big health problems when it isn't well-managed. But when you take charge, you can help yourself live a much healthier life.

Diabetes complications

The buildup of glucose in your blood can cause diabetes-related complications, and:

  • Cause plaque (fatty material) to narrow your blood vessels
  • Damage the lining of your blood vessels
  • Keep blood from freely moving through your blood vessels
  • Slow blood flow to vital tissues and organs

To reduce your risk of these diabetes-related complications, your doctor should, at least once a year, perform (and/or give you a):

  • Cholesterol profile test, to measure cholesterol (e.g., total cholesterol, HDL, and LDL) and triglycerides in your blood
  • Dental exam, every six to 12 months
  • Flu shot
  • HbA1c test, to measure your blood sugar over a three-month period
  • Kidney (blood) test, to check your glomerular filtration rate, which tells how well your kidneys filter
  • Kidney (urine) test, to check for a protein called Albumin, which can help detect kidney disease or nephropathy
  • Pneumonia shot, if suggested by your healthcare provider
  • Retinal or dilated eye exam, to help find glaucoma, cataracts, diabetic retinopathy, and other eye conditions

If you have diabetes, you should:

  • Ask questions about your treatment plan
  • Avoid or quit smoking2
  • Check, monitor, and record your blood sugar levels at home
  • Eat a healthy diet that includes fruit, vegetables, and whole grains, AND fewer animal products, refined carbohydrates, and sweets3
  • Get the right amount of sleep3
  • Limit salt and alcohol intake3
  • Manage stress
  • Reach and/or keep a healthy body weight
  • See your healthcare provider, who will check your blood pressure, weight, and feet
  • Share your blood sugar level records with your healthcare provider
  • Stay active3
  • Take medications (such as an oral medication or insulin) as prescribed

Go365 for Humana Healthy Horizons™

Go365 for Humana Healthy Horizons™ is a wellness program that offers you the opportunity to earn rewards for taking healthy actions.

For each eligible Go365 activity completed, you can earn rewards and then redeem the rewards for gift cards in the Go365 in-app mall. Rewards earned through Go365 have no cash value and must be earned and redeemed prior to the reward expiration date.

This program offers two rewards specifically for our members with diabetes:

  • Diabetic Screening – $10 in rewards (1 per year) for members with diabetes ages 18 and older who complete an annual screening with their primary care provider for HbA1c and blood pressure
  • Diabetic Retinal Exam – $10 in rewards (1 per year) for members with diabetes ages 18 and older who receive a retinal eye exam

Learn more about Go365 for Humana Healthy Horizons

Program Disclaimer

Rewards have no cash value. The monetary amounts listed above are reward values, not actual dollars. For some rewards, your doctor has to tell us that you completed the healthy activity. Once we get this information from your doctor, you will see in the app the option to redeem the reward. For any reward you qualify to earn during the July 2021-June 2022 plan year, we must get confirmation from your doctor by no later than September 15, 2022.

Go365 for Humana Healthy Horizons is available to all members who meet the requirements of the program. Rewards are not used to direct the member to select a certain provider. Rewards may take 90 to 180 days or greater to receive. Rewards are non-transferrable to other Managed Care Plans or other programs. Members will lose access to the Go365® App and to the earned incentives and rewards if they voluntarily dis-enroll from the Humana Healthy Horizons or lose Medicaid eligibility for more than one-hundred eighty (180) days. At the end of plan year (June 30, 2022), members with continuous enrollment will have 90 days to redeem their rewards.

Incentives and rewards cannot be used for gambling, alcohol, tobacco or drugs (except for over-the-counter prescriptions). Rewards may be limited to once per year, per activity. See activity description for details.

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