As part of our commitment to providing high quality treatment for our members, Gateway Health Plan® offers LifeScan's OneTouch and Roche's Accu-Chek products as our blood glucose monitoring systems.
If you do not currently use a OneTouch or Accu-Chek meter, you will be able to receive one directly at your pharmacy at no cost to you. Gateway Health Plan® will only cover the test strips for the OneTouch or Accu-Chek meter you have chosen.
LifeScan and Roche Diagnostics provide a choice of blood glucose monitoring products. As part of this program, you are able to choose a OneTouch or Accu-Chek meter. You can choose from the following choices:
- OneTouch Ultra® Meter
- OneTouch Ultra Mini® Meter
- OneTouch Ultra2® Meter
- OneTouch UltraSmart® Meter
- Accu-Chek Advantage
- Accu-Chek Compact Plus
- Accu-Chek Active
- Accu-Chek Aviva
- Accu-Chek Complete
In order to receive your new OneTouch or Accu-Chek meter, follow these steps:
1. See you doctor and choose the meter that best meets your needs.
2. Have your doctor write a prescription for the meter you would like.
3. Take the prescription to any participating pharmacy and they will give you the meter of your choice at no cost to you.
If you have concerns about using a OneTouch or Accu-Chek meter, call your doctor. Your doctor will call Gateway if your doctor thinks that you need to use a different meter brand. Then Gateway will work with your doctor to review your doctor's medical exception request for another brand of meter.
If Gateway does not approve your doctor's medical exception, you have the right to file an appeal with Gateway Health Plan® within 45 days of the date of receiving a denial notification by calling 1-800-392-1147, or by sending a letter to the following address:
Gateway Health Plan®
Attention: Grievance Coordinator
US Steel Tower, 41st Floor
600 Grant Street
Pittsburgh, PA 15219-2704
You may also ask for a fair hearing from the Department of Public Welfare. Your request for a fair hearing must be in writing and must be postmarked within 30 days from the date on the denial notice.
Department of Public Welfare
Office of Medical Assistance Programs
HealthChoices Program/Complaint, Grievance and Fair Hearing
P.O. Box 2675
Harrisburg, Pennsylvania 17105-2675
You may ask for a state hearing from the Department of Job and Family Services (ODJFS) by filing an appeal within 90 days of the date of the denial notice. Appeals must be sent to the following address:
Attention: Appeals Coordinator
Gateway Health Plan of Ohio, Inc.
U.S. Steel Tower, 41st Floor
600 Grant Street
Pittsburgh, PA 15219-2704
If you are receiving services that are being reduced, changed, or denied, and an appeal is filed within 10 days of the date of this notice, services will continue until a decision on the appeal is made. Please be aware that you have the right to be present at the appeal hearing and can bring a family member, friend, lawyer, or other person to assist you.
If you have any questions or need help filing an appeal, please call Gateway Health Plan®'s Member Services Department at 1-800-877-1952.
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