Health insurance guide

When you have a chronic condition like type 1 diabetes (T1D), having health insurance is critical to help you manage and treat your condition. Breakthrough T1D is here to support you with tips and tools to navigate healthcare and health insurance.

Guidance and information

Help with your diabetes prescription and insulin costs.

What you can do when your insurance is ending.

How to choose the best health insurance plan for people with type 1 diabetes: key questions to ask.

What to do when your insurance company denies you coverage and steps to consider when filing an insurance appeal.

A prior authorization is a requirement from your health insurance company that your doctor obtain approval from your plan before it will cover the costs of a specific medicine, medical device, or procedure.

Information on how to make exception requests of your health insurance company to cover T1D treatments and therapies.

There are several steps to take once you and your doctor have decided that switching diabetes treatments is best for you.

Common health insurance issues around insulin, insulin pumps, CGMs and test strips.

If you have have health insurance coverage through your employer, your HR department can be a helpful resource for you.

Medicare is a federally run health insurance program for people age 65 and older and people with disabilities.

Medicaid is federal and state-run program that provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities.

The better you understand health insurance terms, the better you will be prepared to successfully gain coverage and access to the treatments right for you.