Priority Health lists Virta as a digital program for commercial group members with type 2 diabetes, outside groups with the Livongo buy-up.
Priority Health lists Virta among its member programs as a digital solution built around nutrition therapy and clinician-led care. This page is the Priority Health provider manual, so it is written for physicians and office staff and not for employers.
What the program is and what members do.
What the program is
Priority Health describes Virta as a digital solution that offers customized care plans with dedicated coaching based on biomarker data and on-demand access to clinician-led care teams. The carrier says it focuses on nutrition therapy and lifestyle changes personalized to each member’s preferences, budget and metabolic needs. Virta is also listed with weight loss programs, which are separate from the type 2 diabetes track.
How members use it
The carrier says all enrollees have 24/7 access to tools and resources on Virta’s platform. The page does not explain how a member enrolls or is referred, so that step needs to be confirmed with the carrier.
What it covers and does not
The carrier names a diabetes program and two weight loss programs, one of which adds GLP-1 use through a prescriber network. The page does not describe cost sharing, devices or the length of a program.
Eligibility, funding and plan design.
Who the carrier says it is for
This page is the Priority Health provider manual, so it is written for physicians and office staff and not for employers. It states that the diabetes program is for any commercial group member at least 18 years old with an A1c of 6.5 percent or higher and a type 2 diabetes diagnosis, aside from those with the Livongo buy-up.
How it is funded or sold
The page does not say how Virta is paid for. It does draw a line with Livongo: groups with the Livongo buy-up are excluded from the Virta diabetes track, and the carrier says most groups have Virta. We would ask which one is in the group’s contract.
Where it fits in plan design
It sits beside the medical plan as a condition-specific digital program for members with type 2 diabetes. It does not replace the member’s own doctor or prescription coverage. Employers should treat it as a support option and confirm with the carrier that it applies to their group.
What to settle before relying on it.
Is our group on Virta or on the Livongo buy-up?
The carrier says Virta excludes groups with the Livongo buy-up and that most groups have Virta. We would ask Priority Health to confirm which applies to the group, in writing.
How is Virta paid for?
The provider manual does not state a fee or who pays it. We would ask whether it is included in the premium, billed separately or tied to a rider, and whether any member cost sharing applies.
How do members enroll, and who sees their data?
Enrollment steps are not on the page. We would ask how a member signs up, what is shared with the employer and what stays between the member, Virta and the carrier.
Common questions about this program.
Who can use Virta for diabetes?
Priority Health says any commercial group member at least 18 years old with an A1c of 6.5 percent or higher and a type 2 diabetes diagnosis, aside from those with the Livongo buy-up.
Is Virta the same as Livongo?
No. The carrier lists them as separate programs. Livongo is for groups with the Livongo buy-up, and the carrier says most groups have Virta.
Does the page say what Virta costs?
No. The provider manual page does not state cost or funding, so ask the carrier how it is paid for under your contract.
Where these details come from.
This page summarizes what Priority Health publishes. Programs change, so confirm current details with the carrier before relying on them.
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