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Diabetes Management

Membership Benefits

  • No Deductibles
  • No Claim Forms
  • Free Diabetic Kit
  • No Co-Insurance
  • No Plan Premiums
  • No Cost for Shipping
  • 24-hour Nurse Hotline
  • No Out of Pocket Costs
  • Care Coordinator Service
  • No Up-Front Cost for Supplies

click here for all member benefits

Agent Benefits

  • Telemarketing Oppurtunities
  • Valued Component of our Team

click here for all agent benefits

Contact Us

Telephone:1-866-866-7951
Fax:1-937-898-3202
Email Contact

75 North Dixie Drive
Vandalia, Ohio 45377
AmericanDiabetesManagement

- Diabetic Coverage Plans -

Thank you for your interest in becoming a Member
of the American Diabetes Management family.

American Diabetes Management is a plan designed for individuals who, by doctors orders, are required to check their blood glucose level. We are focused on serving the needs of diabetics and non-diabetics through Prevention, Control and Management.

There is no cost to enroll in the plan. There are no monthly plan premiums after a Member enrolls. In fact, the Member has $0 out of pocket cost for Member benefits, which may even include diabetic supplies. There are no hidden fees or costs with American Diabetes Management.

Our Care Coordinators contact each Member to assess their current diabetic needs. Our Care Coordinators help with a wide range of diabetic issues that may affect a Members overall well-being. By identifying any changes Members may face, our Care Coordinators can offer solutions that address the Members total diabetic needs. American Diabetes Management is one of the only companies of its kind to have Care Coordinators as part of the services offered to Members at no cost.

Our 24-hour Hotline Nurses is an immediate, reliable and caring source of health information available to you as part of being an American Diabetes Management Member. This 24-Hour Nurse Hotline service is for Members who otherwise could not receive the answers to non-emergency health related questions or inquiries when the Members primary care physician is unavailable or cannot be reached.

You can have peace of mind knowing that American Diabetes Management is there for you and all your diabetic needs. The Diabetic Kit each Member receives includes a blood glucose testing monitor, blood glucose test strips, lancet device and lancets, and glucose control solution. The same supplies are available for people with diabetes whether or not they use insulin.

To become a Member of American Diabetes Management, just complete the enrollment application; we will send you a American Diabetes Management Membership Package by mail.

Signup Now For Your Free Supplies

Last Name  First Name  MI 
Bithdate     Gender F M     Phone# 
Resident Street Address 
City  State  ZIP Code 
Name Listed On Medicare Card 
Medicare Claim Number 
Effective Date Hospital (Part A) 
Effective Date Medical (Part B) 
Medicaid Claim Number 

Individual Or Group Insurance Company / Plan or Medicare
Advantage Company / Plan Information (If Applicable)

Insurance Company / Plan Carrier 
Insurance / Plan Customer ID Number 
Phone Number To Verify Benfits or Covarge  
Primary Diabetic Physician 
Physicians Address  
City  State   ZIP Code 
Physicians Phone#    Fax# 
Date Of Last Visit 
Are You Insulin Dependant Yes No
Do You Use Byetta Yes No
Do You Inject In The A.M. P.M.
Do You Use A Short Needle Long Needle
Blood Sugar Checked Time(s) Daily (Minimum Once)
Do You Have A Monitor Yes No
If Yes, What Brand Monitor 
Current Diabetic Supplier  
Date Last Received Supplies 

I authorize the release of any medical or other information necessary for MedPoint to process and submit my claims. I authorize payments for medical supplies furnished to me by MedPoint be paid directly to them.

I agree that if any insurance company sends me the payments, I will send all of the payments received directly to MedPoint as soon as I receive them. I understand my insurance payments for the supllies belong to MedPoint. I understand that using the insurance payments for anything other than paying for my supplies is against the law.

I authorize MedPoint to contact me at periodic intervals to determine my need for supplies which may be rented or purchased by me.

Full Name 
Todays Date 
City  State   ZIP Code 


You may also, simply click here to print the application (PDF), complete it, and you can mail it to the address below or
fax it to: (866) 503-1278.


POST OFFICE BOX 11574
BIRMINGHAM, ALABAMA
35202


This application is only for those interested in becoming Members, not Agents

click here to become an Agent.

*Get a pair of FREE Diabetic Socks Now with your approved application


DISCLAIMER: American Diabetes Management is not a Medicare Advantage Special Needs Plan. American Diabetes Management is not contracted or affiliated with The United States Federal Government or The Centers for Medicare Medicaid Services.