General Patient FAQs

  • 510 Old Candia Road, Candia, NH 03034. All in-person visits are by appointment only.

    • From NH RT-101:

      • Take exit 3 toward RT-43/Candia/Deerfield.

      • Turn left onto Old Candia Rd (RT-43).

      • Continue on Old Candia Rd (RT-43) for 0.8 miles.

      • 510 Old Candia Rd is located on the left hand side just before the underpass.

  • We provide comprehensive care for patients with Pre-diabetes, Diabetes (Type 1 & Type 2), Gestational Diabetes, Obesity, Hypertension, and/or High Cholesterol.

    We have partnered with a Psychiatric Mental Health Nurse Practitioner to offer streamlined referrals for patients interested in therapy and/or medication management.

  • NextGen Diabetes Care is proudly in-network with the following insurance payers:

    Accepted Commercial Payers:

    • Aetna

    • AmBetter

    • Anthem Blue Cross Blue Shield

    • Cigna

    • First Health Network

    • Harvard Pilgrim / Point32 Health

    • Health Plans Inc.

    • Mass General Brigham Health Plan

    • MultiPlan / Claritev

    • United Healthcare

    Accepted Medicaid Payers:

    • Ambetter

    • AmeriHealth Caritas New Hampshire

    • New Hampshire Healthy Families

    • New Hampshire Medicaid

    • WellSense

    Medicare Payers:

    • Aetna Medicare Advantage

    • Humana Medicare Advantage

    • Medicare (Red, White & Blue Card)

    • United Healthcare Medicare Advantage

    • WellSense Medicare Advantage

  • This depends on your specific health insurance policy - we strongly recommend that you call your insurance company and ask if referrals are required.

    You can contact us directly to get started. We're happy to collaborate with your primary care provider to request a referral on your behalf if you’d like.

  • We offer affordable self-pay options. Please reach out for a pricing overview and we will gladly provide you with an estimate.

  • Absolutely. We work with your PCP, not in place of them. Our goal is to provide more specialized support and enhanced access to your care team between your regular visits.

  • Freestyle Libre Users:

    If you have an account on the FreeStyle Libre 3 app, glucose data is automatically uploaded to LibreView. You can then share data with NextGen Diabetes Care by:

    1. Opening the app.

    2. Clicking the menu (three stacked lines) at the top left corner.

    3. Clicking "Connected Apps".

    4. Clicking "Connect" next to LibreView.

    5. Enter our “Practice ID" which is 6036913771.

    Dexcom Users:

    If you have an account on the Dexcom G7 App glucose data is automatically uploaded to Dexcom Clarity. You can then share data with NextGen Diabetes Care by:

    1. Opening your Dexcom sensor app on your smartphone.

    2. Tap the Connections Tab.

    3. Tap Clarity Clinic and tap “Continue”.

    4. Enter the Clarity Clinic Code 6036913771

    5. Confirm clinic details and tap “Done” when finished.

    6. Clarity clinic will remain an active connection in the Connections Tab of your Dexcom CGM App.

Healthcare Provider FAQs

  • Referrals are easy!

    • Fax to (833) 438 - 1685. Please include latest lab results and applicable health information.

    • Your patient may also self-schedule with us by clicking the appointment self-scheduling link on our homepage.

    We strive to follow up with every referral within 3 business days and keep your office informed throughout the process.

  • We work with adult patients who:

    • Have pre-diabetes, Type II Diabetes, or are seeking anti-obesity treatment.

    • Are struggling with diabetes control or frequent highs/lows.

    • Require close monitoring of co-occurring conditions such as hypertension, high cholesterol, chronic kidney disease, etc.

    • Use insulin or are starting new medications.

    • Need help starting or using CGMs.

    • Have transportation or access barriers.

    • Are covered by Medicare or NH Medicaid.

  • Yes. We provide regular visit summaries, updates on medications changes, and relevant lab results. We aim for seamless, coordinated care.

    For patients enrolled in Chronic Care Management, you will receive a monthly care plan update.

  • We support the work of PCPs and specialists by providing more frequent, focused care. Patients can continue seeing their usual care team.

    If a patient requires a higher level of care or would benefit from meeting with an endocrinologist we will coordinate a referral with your office.

    At the request of the patient, we are more than happy to forward routine visit summaries, medication changes, and any other care plan updates to any member of the care team.

  • Yes. We are happy to provide care to individuals residing in skilled nursing, assisted living, and independent living communities. All treatment and care plans are shared with the residents primary care provider.

Virtual Healthcare FAQs

  • Virtual appointments connect patients to their healthcare providers through a live video conferencing platform on your smartphone, tablet, or computer. Telemedicine appointments can be conducted over the phone (telephonic) if video is unavailable.

  • Virtual visits allow you to receive healthcare services from the comfort of your home while minimizing the need for frequent visits to an office.

  • It is possible that you could experience technical difficulty with your internet connection, device, or the telemedicine platform. Internet access may vary in reliability based on weather, locality, or other factors. If this is a problem, your provider may conduct your appointment over the phone instead.

  • You need a mobile device, tablet, or computer with internet access and video functionality.

  • Telemedicine appointments are billed and paid for the same way as regular office visits — either through insurance or by self-pay. You are still responsible to pay any applicable co-payments that you would typically pay for an office visit.

  • Medicare, Medicaid, and most commercial health insurance plans typically cover many telehealth services, though there may be some policy-specific limitations. We always recommend that patients contact their insurance company directly to ask about their coverage of telemedicine appointments.

  • Telemedicine is subject to the same privacy rules and regulations as in-person healthcare services. Our telemedicine platform is safe, secure, and HIPAA compliant. You can protect your privacy at home by using a secure internet connection and completing your appointment in a private location.

Chronic Care Management FAQs

  • Chronic Care Management (CCM) is a medicare supported program designed to help patients with two or more chronic health conditions such as diabetes and hypertension. CCM helps patients manage their health more effectively between visits with their provider. It includes ongoing support from a dedicated care team to improve your quality of life and reduce complications.

  • You are eligible for CCM if you:

    • Have diabetes and at least one other chronic condition (e.g., high blood pressure, heart disease, obesity, etc).

    • Are enrolled in Medicare Part B. (Select Medicaid and Commercial Insurance plans also cover CCM).

    • Provide consent to participate in the program.

  • Enrollment is easy! Just contact our office. We’ll explain the process, help you sign the necessary consent forms, and get your care plan started.

  • CCM includes:

    • Monthly check-ins from your care team.

    • Personalized care plans tailored to your health goals.

    • Medication management.

    • Coordination with your specialists and primary care provider.

    • Help with referrals, follow-ups, and appointment scheduling.

    • 24/7 access to your care team for urgent health questions.

  • Managing multiple chronic conditions can be overwhelming. CCM helps by:

    • Keeping track of your blood sugar, blood pressure, and medications.

    • Preventing complications like heart attacks, kidney disease, or diabetic foot ulcers.

    • Giving you more support between visits.

    • Improving communication between all of your healthcare providers.

  • Yes! CCM is meant to support—not replace—your regular care provider. Your care team works closely with your provider to ensure your care plan is followed and updated regularly.

  • If you have Medicare, CCM is typically covered. You may have a small monthly copay, but many patients find the benefits far outweigh the cost. Some secondary insurances or Medicaid may cover the copay entirely.

  • You will receive a monthly phone call or telehealth check-in to monitor your progress. You can also contact your care team anytime if you have questions or concerns.

  • Yes, participation is voluntary. You can withdraw from the CCM program at any time—just let us or your healthcare provider know.

  • The key difference is ongoing, coordinated care. CCM fills the gaps between your regular appointments, offering proactive support so issues can be caught early, before they become serious.

Billing FAQs

  • Please mail your payment and any associated correspondence to our billing team directly at:

    NextGen Diabetes Care LLC

    PO Box 39926

    Belfast, Maine 04915-1253

  • Charges can vary for the same type of service based on individual patient needs. The average charge listed is the mid-range charge for patients receiving the same care and treatment.

  • There are many factors that may change the amount of your financial responsibility, including but not limited to:

    • The complexity of your individual case.

    • Your current health factors, which may impact the complexity of your encounter.

    Additionally, each insurance plan has its own nuances; the remaining deductible, coinsurance and co-payments, as well as where you stand with your out-of-pocket maximums may impact your expense.

    Because of these factors, it is always best to consult your insurance company to review your benefits prior to receiving services.

  • NextGen Diabetes Care LLC providers expect co-payment amounts to be paid at the time of service. Please be prepared to pay your co-payment when you check-in.

  • Many insurance companies have amounts which the patient must pay. These are called deductible, co-pay or co-insurance payments. If your insurance plan requires you to pay a deductible or co-insurance, the balance will be billed to you. If you have a question about why your insurance company did not pay part of a claim, you should call your health insurance company directly.

    You may also receive a bill if your insurance company does not process our claims by their due date. If you receive a statement that does not show insurance processing, you should contact your insurance company to determine the reason for delay.

  • These are documents showing a detailed listing of how your insurance company processed your claim or bill. An EOB or EOP is mailed by your insurance company directly to you.

  • You have the right to receive a "good faith estimate" explaining how much your medical care will cost.

    Under the law, NextGen Diabetes Care LLC is required to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

    • You have the right to receive a good faith estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

    • Make sure your health care provider gives you a good faith estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a good faith estimate before you schedule an item or service.

    • If you receive a bill that is at least $400 more than your good faith estimate, you can dispute the bill.

    • Make sure to save a copy or picture of your good faith estimate.

    NextGen Diabetes Care LLC extends discounted healthcare to those who may not be able to access or afford insurance, either individually or through their employer.