BCBS of Michigan (MICHILD) paid for cgms sensors!!!!
I received reimbursement from BCBS of MI (MICHLD) for sensors I purchased last year. It wasn't really too hard either, strangly. I sent in the forms for reimbursement. They denied due to lack of prescription. I faxed a copy over and about a month later I got a check and a letter saying it was approved.
Replies to This Discussion
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Permalink Reply by MelissaBL on -
D*mn it. *laughs* We just left them when my husband switched jobs in April.
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Permalink Reply by Cin on -
Glad that you got BCBS to pay. I'm having to appeal a denial for the 72 hr CGMS that I just did. They are saying that they are refusing to pay because it was not "medically necessary". BTW, I'm in NC and was told they would pay for the CGMS but am finding out differently now.
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Permalink Reply by Kathie Vaught on -
Would you be so kind as to have a private talk with me regarding your insurance coverage. I also have BCBS (State of MI retiree) and have been submitting and being rejected for almost 12 months now for the CGM. However, I have not had the courage to just purchase and submit -- I have been trying for prior approval.
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Permalink Reply by Gina Capone on -
Awesome. If you havent already, Sign the CGMS petition http://www.ipetitions.com/petition/CGMSdenial/
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Permalink Reply by Gina Capone on
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Cin, i hope so too. all we can really do is hope! it has 1114 signatures now!!
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Permalink Reply by Michelle Curtis on -
I actually signed it before I had coverage. :)
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Permalink Reply by Gina Capone on
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Michelle Thanks!
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Permalink Reply by Rob on -
Michelle, What forms did you fax off? I have a prescription and it was denied according to three pharmacies. Was told Walgreens would put thru...wrong. So tried one other as well as my regular small town pharmacy. No luck. As a newly diagnosed diabetic I am testing six times a day. Would love a little help from BCBS to whom I pay over 500.00 a month (for just my insurance). Thanks
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Permalink Reply by Michelle Curtis on
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Actually I faxed a copy of the prescription. The orginial form I submitted was an all in one envelope kind of thing. I think this is the title, "Member Application for Payment Consideration". In all actuality all I sent was receipts with this form. The only denial was due to lack of prescription, which was remedied when I faxed that along with my receipts again with my new claim number.
Before getting that form everything I sent seemed tp be ignored.
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