Which insurance covered your CGM
Can you please list here which insurance company covered your CGM and under what terms?
Replies to This Discussion
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Permalink Reply by T1Student on -
Have your mom call the insurance company or you can if allowed and ask them which ones they cover and do not cover. this will be from the DME part of the company so you need to speck with that dept as they will have the direct info
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Permalink Reply by Rickst29 on
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Maybe, but we can't advise without knowing a few things:
1) In which USA State, and exactly which insurance plan, is your Mom covered?
2) Your age- it's pretty easy to get Minimed if you're at least, but hard to get Dexcom if you're under 18 (until next year).
3) What problems have you had, using fingerpokes alone, which CGMS might solve for you? You need to start recording all of these, and have your Mom record all problem events, in writing. The she needs to fax her event log sheets to to your Endo's office- so that they get into your Medical Record.
4) What does your 504 plan have for treatment of problems at school? (Both Hypos and Highs.)
These things are a hassle, and not very reliable. Are you sure that you need to have one? If so, post back with your answers- or send me a "friend" request.
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Permalink Reply by Kashan on -
HAP HMO of Michigan coveres my Insulin pump and CGM 100%, took 6 appeals, lawyer involvement, but finally got it covered after 5 denials for a pump and CGM. I have not needed a new transmitter yet, I get 10 Sensors a Month, 180 IV3000's every 90 days. So not sure what will happen in a year when I need a new transmitter.
All because my c-peptide was not in there 'range' was my fight for.
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Permalink Reply by wallskev on -
I have CVS/Caremark and they covered it under Perscriptions and not my Durable Medical device coverage. Normal 80/20 copay
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Permalink Reply by Laura on -
BC/BS of NC, had to pay my out of pocket to get it, over $700 and they pay 80% of the sensors every 3 months, had to have blood sugar logs for several months showing my above average number of lows!
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Permalink Reply by jojojovich on -
BCBS IL, who seemed to cover it no problem (a few weeks' tests, which I got from my tester), though my jerky endo needed to check one certain box which he was dragging his heels about, given I was a new patient. I told him at my first visit that I'm low and unaware generally every day. I see the cgm really as THE key ingredient to success. Otherwise you're just flying blind, is how I see things. I really see it as a vital piece in my control. I use Dex, given its lowest time-lag. Add attentiveness, including responding to it buzzing low, and you're all set.
Now... what I'm really quite shocked is not included inside of Dex, is an average bg level shown over any amount of time, even say averaged over its inaccuracies, I really think could be quite useful, given I get that from my bg tester, which has significantly less data.
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Permalink Reply by peruvianpasohi on -
Jojovich: Download the Dex. Go to success report, near the bottom is improvement statistics, it show the average over time, and has a place for you to enter your A1c from the lab also.
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Permalink Reply by Amy on -
I have network health Commonwealth care which is managed care Medicaid in my state. I also had the help of neighborhood diabetes company and medical of necessity letter to show I needed this tool to help me before I go on a pump. I also had to submit a few weeks of logs to prove this will help me u derstand my levels between meals and such...
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Permalink Reply by Jen* on -
Cigna covered mine 90% and it only took a few days for me to get approved. I must admit I was a little shocked they okayed it right away!
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Permalink Reply by NOLA on -
Coventry/Health America covered my CGM but they would only approve it once i was pumping successfully for 6 months
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