Title: Global Medical Direct
1Global Medical Direct
2Global Medical Direct Mission
- Committed to
- Providing patients with valuable diabetes
self-management tools to improve their quality of
life. - Providing Health Plans with diabetes products and
services that help improve claims experience and
reduce diabetes related complications. - Providing a work environment where employees
thrive on providing patients with high level of
service to gain and maintain clients.
3Diabetes Market
24.6 Million Diabetics 2008
- 20.8 million people have diabetes.
- 14.6 million people diagnosed.
- 54 million people have pre-diabetes.
- 5th leading cause of death in the U.S.
- Leading cause of coronary artery disease.
- Leading cause of amputations.
- Leading cause of end stage renal disease.
20.8 Million Diabetics 2006
18.8 M Diabetics 2000
4Diabetes Financial Impact
- gt 92 billion in direct health costs associated
with diabetes. - 16.9 billion hospital days annually.
- 62.6 billion out patient visits.
- 40.3 billion spent on hospital stays.
- gt 40 billion in indirect employer costs.
- Sick days 88 million days lost.
- Disability 7.5 billion in permanent
disability. - Premature mortality.
CDC- National Diabetes Fact Sheet
5Global Medical Direct
6Global Medical Direct
- Full Product Line
- Offering a full product line of blood glucose
meters, strips, lancets, syringes and accessories - Lifescan
- Roche
- Bayer
- Abbott
- GMD will not swap out meters to generic or off
brands without approval from the patients
provider
7Experts in DiabetesCaring ? Service ? Support
- Caring Care Coordinators are highly trained in
diabetes, demonstrating empathy to patients
illness. - Service Care Coordinators understand insurance
benefits, diabetes products and they advise
patients on the most suitable products that are
financially beneficial to the patient. - Support On staff educators and dieticians are
available to consult with patients.
8Global Medical Direct Convenience ? Compliance ?
Savings
- Convenience Products are conveniently delivered
directly to the consumer employing state of the
art bar code tracking. Compliance GMD calls
patients every 60 days to review their next order
and assess the level of prescription compliance. - Savings No upfront co-payments or coinsurance.
Patients are billed after all insurance has been
paid.
9Diabetes Care Plan
- Diabetes Care Plan is a program dedicated to
helping patients manage their diabetes through
diabetes testing supplies, care support and
educational materials. - This program is offered to GMD members are no
additional cost to them or their health plan
10Diabetes Care Plan
- 90 Day supply of testing supplies
- Quarterly Diabetes Education
- Free Meter Upgrades
- Home Delivery at no charge
- Quarterly reminder calls so patients do not run
out of supplies - No forms to complete or prescriptions to get
- All paperwork is filed with their health plan
11Diabetes Care Plan Benefits
- Medicare Advantage cover Diabetes supplies at
100 (In most cases) - Convenience
- Compliance leading to better Quality of Life
- Additional Income 1 time 30.00 fee for each
referral that results in a shipment - Added value programs setting self apart from
competition - Can offer program even if patient declines policy
making the visit worth while
12Diabetes Care Plan Carriers
- Care Improvement Plus- All Plans
- Coventry- Avantra
- Evercare- All Plans
- Humana- All Plans
- Secure Horizons- PPO/PFFS
- Sterling- All Plans
- Pyramid- All Plans
- Wellcare All Plans
- BCBS- PPO, PFFS- beware of high deductibles
- Medicare Part A B
- Medicare Part A, B and Sup
- Medicare plus Medicaid
- HMO Plans may be challenging
13Out of Network
14Diabetes Care Plan Process
- Agent sells DCP when selling Policy
- Patient signs the DCP enrollment
- Agent can sell DCP even if beneficiary doesnt
purchase policy
- Agent e-mails or faxes the enrollment form to
GMD and sends copy to The Brokerage office.
- GMD Care Coordinator calls participant
- Explains benefits
- Enrolls participant
- Ships order
15Marketing Fees
- Marketing Fees are paid by The Brokerage the
month after the first shipment is sent.
16DCP Enrollment Form
- Top Portion
- Top half explains the benefits of DCP.
- Patient must sign and date form.
- All data is entered by GMD, Insurance verified,
Prescription obtained. - Care Coordinator will call patient to review the
program benefits and schedule shipment.
17DCP Enrollment Form
- Complete Lower Section
- Insert brokerage name, agent, Agent , phone.
- Complete all demographic info for beneficiary,
Dr, and insurance. - Medicare number is critical.
- Current meter, frequency, days on hand and
insulin injecting is essential. - Complete information will enable us to process
and send order within 5 business days.
18DCP Brochure
- Great piece to leave with beneficiary to send in
later - Patient needs more time to decide.
- Reminder piece for when GMD calls.
- Highlights the benefits for future use.
- Expectations are clear.
- Include Agent Name on the BRC for credit when
shipped.
19GMD Agent Support
- Brokerage Name The Brokerage
- Agent Number 00TB
- Dedicated customer service representatives
- 800-505-1625
- fax number - 866-922-8325
- e-mail DCPenrollment_at_globalmeddirect.com
- Marketing Slicks Enrollment Forms
20Global Medical Direct
- Leading provider of mail order diabetes supplies.
- Improving patients quality of life.
- One stop resource for people with diabetes.