Diabetes medications are costly and insurers are not taking the financial burden lightly. The Associated Press reports that insurers, who can no longer turn away diabetics under the Affordable Care Act, are checking in on patients to keep them compliant.

The AP’s description makes it seem as though insurers are offering a variant of the long-gone house call, employing both telephonic reminders, workshops or—as insurer Cigna tells the Associated Press—in-person, head-to-toe examinations.