More than 29 million adults in the United States have diabetes and 25% of them do not know it. People with diabetes either do not make enough insulin (type 1 diabetes) or their bodies cannot use insulin properly (type 2 diabetes). Several factors can increase your risk for type 2 diabetes, such as being overweight, having a parent or sibling with diabetes, having high blood pressure and being physically inactive.

The A1C test is a blood test that provides information about a person’s average levels of blood glucose, also called blood sugar. The A1C test is sometimes called the hemoglobin A1C or glycohemoglobin test. The A1C is the primary test for diabetes management. If your health care provider determines that your blood glucose level is very high, or if you have some of the classic symptoms of diabetes, he or she may choose to check your blood glucose levels.


Fit4D is Blue Cross and Blue Shield of Nebraska’s diabetic education program. Your voluntary participation in the free Fit4D program gives you access to a wide variety of support and educational materials, including how to remove any barriers to control your hemoglobin A1C and how diet and exercise can affect your blood sugars. You can participate in Fit4D from the comfort of your own home at times convenient for you. Fit4D materials and support are available in both English and Spanish.

You may contact Fit4D directly if you would like to learn more now. Please call (402) 205-3245 (extension 0017) and mention that you are a Blue Cross and Blue Shield of Nebraska member who is interested in the diabetic education program.

To learn more about the risk factors for diabetes, how to get checked for the disease and how to treat it and information on the Fit4D diabetes education program, utilize the following resources:

To determine if you are a candidate for the Fit4D diabetic education program, please take a short self-assessment.

Data is based on 2016 information from the Centers for Disease Control and Prevention and the American Diabetes Association.



The percentage of the bill you pay after your deductible has been met.


A fixed amount you pay when you get a covered health service.

Tiered benefit plan

A health care plan featuring multiple levels of benefits based on the network status of a particular provider. 


The annual amount you pay for covered health services before your insurance begins to pay.

emergency care services

Any covered services received in a hospital emergency room setting.


Includes behavioral health treatment, counseling, and psychotherapy

in-network provider

A provider contracted by your insurance company to accept an agreed upon payment for covered services. 

OUT-OF-network provider

A term for providers that aren’t contracting with your insurance company. (Your out-of-pocket costs will tend to be more expensive if you go to an out-of-network provider.)


Your expenses for medical care that aren’t reimbursed by insurance, including deductibles, coinsurance and co-payments.


If you can afford health insurance, but choose not to buy it, you must have a health coverage exemption or pay a tax penalty on your federal income tax return.


The amount you pay to your health insurance company each month. 

Preventive services

Health care services that focus on the prevention of disease and health maintenance.


Services and devices to help you recover if you are injured or have surgery. This includes physical, occupational and speech therapy.

special enrollment period

The time after the Open Enrollment Period when you can still purchase health insurance only if you have a qualifying life event (losing other health coverage, having a baby, getting married, moving).


A physician who has a majority of his or her practice in fields other than internal or general medicine, obstetrics/gynecology, pediatrics or family practice.