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Diabetes Prevention Program

HealthChoice has implemented a benefit for coverage of the Centers for Disease Control and Prevention (CDC)-recognized National Diabetes Prevention Programs (DPPs) and is contracting with provider organizations in Oklahoma that have achieved full CDC recognition. The CDC National DPP is a lifestyle change program that offers evidence-based, cost-effective interventions that help prevent type 2 diabetes. The program is intended to create behavioral changes to improve healthy eating, increase physical activity and manage stress.

Participation in the program is offered as a preventive service. HealthChoice covers qualifying preventive care services at 100% of allowable fees for a qualifying code when rendered by a participating network provider. There are no copays, deductibles or coinsurance applied under this benefit.

All HealthChoice participants who meet DPP eligibility as established by a participating DPP provider are eligible for one year in the program. Members who successfully meet the year one performance goal will be eligible to continue participation in ongoing maintenance sessions through year two.

To locate a network DPP, visit the HealthChoice Provider Search site at https://gateway.sib.ok.gov/providersearch/SpecialtySearch.aspx#grid and search by specialty.

For additional information, call EGID Network Management at 405-717-8790 or toll-free 844-804-2642.

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