Medtronic to Become UnitedHealthcare’s Preferred
DME Provider of Insulin Pumps for Diabetes,
Effective July 1, 2016
As part of our ongoing efforts to provide a better member
experience, while increasing quality and lowering the overall
cost of diabetes care in the United States, UnitedHealthcare
has reached an agreement with Medtronic to become the
preferred, in-network durable medical equipment (DME)
provider of insulin pumps for UnitedHealthcare Community
Plan and Commercial members, effective July 1, 2016.
Medtronic is a global healthcare solutions company
committed to improving the lives of people through its
medical technologies, services, and solutions and has been
a leader in diabetes care for more than 30 years.
The preferred relationship excludes UnitedHealthcare
Sierra Health and Life Commercial members as well as all
UnitedHealthcare Medicare Advantage members.
Our goal is to provide the opportunity for a better care
experience by providing our members with access to
advanced diabetes technology and comprehensive support
services while learning how advanced technology can be
applied to improve outcomes and reduce costs. We also
aspire to find new ways to analyze the total cost of care
for diabetes management, bring a value-based approach
to diabetes care for UnitedHealthcare members and place
greater focus on quality rather than the volume of care
As part of this agreement, UnitedHealthcare members
with diabetes who meet the UnitedHealthcare medical
policy criteria will be provided access to multiple models
of Medtronic’s insulin pumps, including the MiniMed®
530G pump. The MiniMed 530G system includes safety
features that pause insulin delivery when sensor glucose
levels fall below a preset limit, helping the patient recover
at a quicker rate.
Please note: UnitedHealthcare will continue to cover
insulin pump supplies for all brands of insulin pumps that
our members currently use while their insulin pumps are in
warranty and are still functioning properly. They do not need
to make any immediate change to their pump and will not
transition to a MiniMed pump until their pump is both out of
warranty and not functioning properly.
What this means for you:
• There has been no change within our medical policy
for coverage of insulin pumps; this only applies to the
type of device prescribed.
• When UnitedHealthcare members need to obtain
their prescribed pump, they can call Medtronic at
800-646-4633 or visit www.medtronicdiabetes.com/
• UnitedHealthcare members who are 18 years old and
younger may remain on their current insulin pump and
are not required to use a MiniMed pump.
• If one of your patients is a UnitedHealthcare Sierra
Health and Life Commercial member or a Medicare
Advantage member, the preferred relationship does
not apply. However, you may still prescribe them to a
MiniMed insulin pump as you see fit.
We thank you for all that you do as we strive to provide the
best possible outcomes for our members with diabetes.
If you have questions, please call the number on the back of
your patient’s member ID card. Thank you.
Network Bulletin: May 2016