To our Joslin patients and their families: 

Due to the rapidly evolving situation regarding the novel coronavirus  (COVID-19), we are shifting to a remote model of patient care with very limited in-person, “urgent care” appointments. We have made this decision in line with current Department of Public Health guidelines for preventing the transmission of COVID-19 to ensure the health and safety of our patients and their families. 

Our remote care model with limited, in-person “urgent care” appointments means: 

  • Current and future appointments will be conducted by telephone or video conference with your Joslin provider at the scheduled date and time. The call from Joslin may come from an unfamiliar number; please answer if the call is at or near your appointment time.
     
  • In-clinic appointments are limited to very urgent appointments which must be authorized by the Joslin provider.
     
  • Patients should not come into Joslin unless confirmed by their Joslin provider.
     
  • We are still available for prescriptions and prior authorizations – we will make sure patients have access to medications and supplies.
     
  • You may receive an outgoing phone or text message “canceling” appointments which refer to in-person visits.  If you have confirmed a remote visit, please assume that we have NOT canceled remote visits.
     
  • Please call Joslin with urgent matters during the day whenever possible and the on-call provider overnight and on weekends at 617-309-2400.
     
  • As always, please call 9-1-1 for all medical emergencies. 
     
  • We will notify patients when a decision is made to open the clinic for routine clinical visits.

We understand that there is a lot of information regarding this situation, but please be assured that Joslin is doing everything possible to maintain continuity for your care. 

Thank you.

Guidance for our Patients and Staff

We take the health and safety of our patients, their families and our colleagues very seriously. Therefore if you or someone in your household have been to a country on the CDC's list of heavily affected areas by COVID-19  within the past 14 days and have a fever or respiratory symptoms such as a cough or shortness of breath, please contact your primary healthcare provider for further guidance.

Below is a short video from our Chief Medical Officer Robert Gabbay, MD, PhD, with general advice for people with diabetes as we work through the COVID-19 situation.
 

Joslin is taking several steps to prevent the spread of viruses including:

  • Patients and visitors to Joslin are being asked screening questions –both pre-appointment and at Check-In--about travel to and from heavily affected areas as defined by the CDC.
  • Anyone with symptoms, including Joslin colleagues are being asked to stay home and seek medical attention as appropriate.
  • Increasing cleaning frequency of all Clinical and Common area surfaces to at least twice a day, and misting with anti-viral disinfectant throughout the facility.
  • Working closely with our infectious disease colleagues at our clinical affiliate Beth Israel Deaconess Medical Center and Children’s Hospital.
  • Infection prevention stations have been posted at the two main entrances (Pilgrim Road and Joslin Place) and hand sanitizer is provided throughout the building.
  • Encouraging everyone to wash their hands thoroughly (20 seconds or more) and frequently

We are encouraging people to follow the CDC guidelines on how to stay healthy and lower your risk of contracting a virus.

Some helpful tips include:

  • Check with your insurer on early refill and 3-month supply options, and delivery options
  • Keeping all medication prescriptions up to date and filled
  • Taking everyday precautions to keep space between yourself and others
  • When you go out in public, keep away from others who are sick, limit close contact and wash your hands often.
  • Avoid crowds as much as possible
  • If COVID-19 becomes prevalent in your community - stay home as much as possible.

Please visit Joslin’s website for more information:
https://www.joslin.org/about/news-media/measures-help-prevent-flu-and-coronavirus

The CDC information and advice can be found: 
https://www.cdc.gov/coronavirus/2019-ncov/about/prevention-treatment.html

CDC frequently asked questions visit:
https://www.cdc.gov/coronavirus/2019-ncov/faq.html

We remind all patients, families, staff, and visitors to please follow basic precautions to prevent illness:

  • Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based hand sanitizer.
  • Cover your nose and mouth with a tissue or your arm when you cough or sneeze. Throw the tissue in the trash after you use it.
  • Do not touch your eyes, nose or mouth because germs spread this way.
  • If you are sick with flu-like symptoms (fever, cough, body ache, etc.), please call us at 617-309-2440 to reschedule your appointment. 

For more information please visit the Mass Department of Public Health or the Centers for Disease Control websites.

Joslin also recommends putting together a diabetes emergency preparedness kit.

The Diabetes Disaster Response Coalition provides a comprehensive list of recommendations for what should be contained in the kit. Download the checklist here. (Espanol)

People with diabetes have been identified as one group that may face a higher risk of complications when dealing with COVID-19. With that in mind, our clinicians have put together a list of guidelines for people with diabetes who may find themselves dealing with any kind of viral symptoms.

You can view steps to take when you are feeling sick in our Education Library. Sick day guidelines can also be accessed here to download and print for reference. 

You can view steps to take when your child is feeling sick in our Education Library. Sick day guidelines can also be accessed here to download and print for reference. 

There is currently no vaccine to protect against COVID-19. The best way to prevent infection is to avoid being exposed to the virus that causes COVID-19.

If someone in your household has been quarantined at home, all close contacts - including household members, intimate partners, and caregivers - should monitor their own health and call their primary healthcare provider if they develop symptoms suggestive of COVID-19 (e.g., fever, cough, shortness of breath).

If your household member has been quarantined, and you have an upcoming appointment at Joslin, please call us at 617-309-2440 to reschedule your appointment.

In addition, the CDC has provided a list of recommendations for how to best care for someone at home which can be found on the CDC website.

Joslin is following the recommendations of both the CDC and the US State Department. Both organizations have specific recommendations regarding travel which can be found on their respective websites.

The CDC travel guidelines state that people at higher risk (older adults, those with serious chronic conditions, including diabetes) should avoid cruises and all non-essential air travel. It is recommended that travelers avoid all nonessential travel to the following destinations: China, South Korea, Italy and Iran.

Pregnant women should engage in usual preventive actions to avoid infection like washing hands often and avoiding people who are sick.

Medicare has temporarily expanded its coverage for telehealth services. Joslin is currently moving its non-urgent patients to a remote care model. If you have a scheduled upcoming visit, it will be changed from a face-to-face visit to a remote visit. Joslin staff will call you prior to your scheduled appointment to confirm that the visit will occur over the phone with your regular provider.

Your Joslin provider will be able to document this as a visit and process the necessary paperwork for Medicare as usual.

If you are on an Omnipod® Insulin Management System, your pods are covered under Medicare Part D, and you are not required to be seen every three months by your diabetes healthcare provider at the Joslin Clinic.

You may call Omnipod Customer Care (24/7): (800) 591-3455. Or visit   https://www.myomnipod.com/medicare

Currently, Medicare has waived the six-month office visit requirement for Medicare patients on CGM. In addition, Medicare has temporarily expanded its coverage to telehealth services. Joslin is moving its non-urgent patients to a remote care model. If you have a scheduled upcoming visit, it will change from face-to-face to a remote visit. Joslin staff will call you prior to your scheduled appointment to confirm that the visit will occur over the phone with your regular provider.

Your Joslin provider will be able to document this as a visit and process the necessary paperwork for Medicare as usual.

You may call Dexcom Customer Service: (888) 738-3646 for any assistance.

Or visit https://www.dexcom.com/medicare

Please use the reference information below for links and directions on how to download and connect to the Joslin Diabetes Center clinic sites when applicable.
 

Glooko - most meters and Omnipod Insulin Pumps

Customer assistance: 800-591-3455

Quickstart Guide

Proconnect to Joslin Diabetes Center: (Reconnect code: joslin1)

Text support 650-720-5310 or email support [at] glooko.com
 

You likely already have a Glooko account set up by Joslin from previous clinic visits. Check your email for an activation request which you would have received when Joslin created an account for you.

  1. Click the Activate Account button within the email and follow the onscreen prompts to activate the account. If you were given an activation code by Joslin, go to join.glooko.com/activate and follow the on-screen prompts to activate your account. join.glooko.com
     
  2. If you cannot find your activation request email try logging in with the email Joslin has on file and click forgot password.
     
  3. If all else fails create a new Glooko account and you can connect to Joslin Diabetes Centers account by entering proconnect code “joslin1”.


 

Omnipod Pump to Glooko
 

Customer assistance:800-591-3455



Tandem t:connect

Customer assistance: 877-801-6901

How do I set up data sharing with Joslin Diabetes Center?

You will need to provide us with your Tandem Username and Password for initial linking of accounts.
 

 

Medtronic CareLink

Customer assistance: 1-800-646-4633

How do I set up data sharing with Joslin Diabetes Center?

You will need to provide us with your CareLink Username and Password for initial linking of accounts.
 

 

Dexcom Clarity

Customer assistance: 1-877-339-2664

How do I set up data sharing with Joslin Diabetes Center? 

If you aren’t already connected, ask your clinician for a sharing invitation. The invitation includes a sharing code that you enter in Settings of your Dexcom CLARITY account.

After you enter the share code, your personal Dexcom CLARITY account will share with Joslin’s Dexcom CLARITY account. This will happen automatically and continuously if you use the Dexcom CGM app as your receiver. If you use a Dexcom receiver, you will need to upload it to Dexcom CLARITY regularly (recommended every 30 days) for the data to be up-to-date.


 

Libre View

Customer assistance: 1-855-632-8658

QuickStart Guide

How do I set up data sharing with Joslin Diabetes Center? 

Log into your account at the LibreView website. In settings enter practice ID Joslin617 to connect to Joslin Diabetes Center.

In an effort to support our patients as best as possible, we have compiled the following list of online video resources. Please review the links provided in advance of your appointment, or in addition to your appointment as extra visual support.
 

Glucometer teaching:

One Touch Verio Meter

One Touch Verio Flex Meter

One Touch Delica Plus Lancing Device

Freestyle Lite System

Contour Next One

 

 

Continuous Glucose Monitoring (CGM):

Freestyle Libre – All Support Videos

Freestyle Libre - Get Started

Freestyle Libre - Apply Sensor

Dexcom - All Video Tutorials

Dexcom – All Training Videos

Getting Started and Setting up Receiver

Getting Started and Setting up the App

Inserting Sensor and Attaching Transmitter

Removing Your Sensor and Transmitter

How to Replace your Sensor

How to Replace Your Transmitter

Using the Dexcom CLARITY App

Dexcom -Clarity in the Computer

Setting up Dexcom Share and Follow

 

 

Insulin Injection:

How to inject insulin with pen needle

How to inject insulin with a syringe

** most of the insulin company websites also have videos specific to the product you may use, visit their websites for more support if needed.

Finding low-cost options for your insulin can be overwhelming. Talking with your diabetes healthcare team about insulin costs will help your diabetes management and your budget. Please do not be afraid to talk to your providers about the cost of insulin.
 

To start, make sure you do the following:

  1. Check your health insurance formulary: every plan has a list of medications covered by the plan, called a formulary. Find the insulins covered by your plan.
     
  2. Know your copay options: most insurance plans divide their formulary by tiers to decide the copay. Insulin in a lower tier will cost less than insulin in a higher tier.
     

Type of Insulin

Formulary Tier

Copay

Your Budget

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. Have a conversation with your provider about lowering your insulin cost: bring the list of insulin(s) covered by your plan to your medical visit. This information will help your provider choose the right insulin for you with the lowest copay or cost.
     
  2. If you are employed, ask if your employer offers a flexible savings account (FSA) or health savings account (HSA) which may help cover the out-of-pocket cost for insulin.
     

Programs available to help lower your out-of-pocket cost:

Patient Assistance Programs (PAPs):

Insulin manufacturers provide free or low-cost insulin to people that meet certain eligibility requirements, for one year for their products. You need to apply to each company and wait for the response.

Most PAPs are for people with no or very little insurance coverage. If you have private insurance or full Medicare, you may not qualify.
 

All PAP applications are free and most require:

  • proof of income
  • insulin prescription
  • citizen of the U.S. or legal resident

Your provider will need to complete a portion of your application, so make sure you complete your part and bring it with you to the medical visit.    

Three options for insulin manufacturers:



Copay Saving Cards and Saving Programs from insulin manufacturers:

These programs only work if you have commercial insurance. If you have Medicare, Medicaid or other government insurance you do not qualify.
 

Novo Nordisk

  • Savings Card program: offer discounts depending on the amounts of your copay and days supply of your prescription. You can access details and enroll at novocare.com
  • Up-coming program (January 2020): Cash Card Program will allow people with diabetes to buy up to three vials or two packs of FlexPen/FlexTouch pens of any combination of analog insulins for a flat price of $99.00/month.
     

Lilly USA

Sanofi USA

  • Insulins Valyou Savings program: allows you to buy a month's supply of any of their insulins for $99 if you have no prescription insurance. There are eligibility requirements and restrictions apply. In order to pay $99 per month, all prescriptions for Sanofi insulin need to be filled together.
  • Sanofi Patient Connection: is a program designed to assist patients in need of support. Access information at http://www.sanofipatientconnection.com/
     

Mankind:

Novo Nordisk Human Insulin Program

If you don’t have prescription coverage and none of the programs above apply to you, talk to your diabetes healthcare team about using other insulin that have been around for a long time and are less expensive. For example, the following are available at Wal-Mart.

  • Novolin ReliOn Insulin N 100units/mL vial à $24.88
  • Novolin ReliOn Insulin N 70/30 flex pen à $42.88/box (contains 5 pens)
     

Coupons for insulin, other medications, syringes, and glucose monitoring supplies

Available sources for coupons or other available discounts on your diabetes supplies can be found at the following online sites.

  • Blink Health: is a company that works with 35.000 pharmacies in the U.S. and negotiates better prices. You can make purchases using the website or smartphone app and pick-up at a store or ask for delivery. You can call 1-855-979-8150 to connect with their insulin patient support team. Visit: blinkhealth.com for more information.
     
  • GoodRX: this search engine collects prices and discounts from over 70.000 pharmacies to help you find better prices. Visit: goodrx.com for more information.
     
  • InsideRx: this search engine helps you find savings. The InsideRx card cannot be used with Medicare, Medicaid or other federally funded programs. Visit: insiderx.com for more information.
     

Glucose monitoring supplies:  

Review the formulary for monitoring supplies. Glucose meters, strips, and lancets can be expensive. You could consider a subscription service for your supplies. There are a few companies offering supplies for a fixed monthly rate. Here are some:  

Other resources where you can find information that may help you find ways to better afford your diabetes treatment:

For more information please visit the Mass Department of Public Health or the Centers for Disease Control websites.