In Ohio, United Health Care covers them. They fall under DME (durable medical equipment) as upposed to major medical like my supplies. My DME cap is $2,500 so my first year will cover the transmitter and about 9 months worth of supplies. Year two should cover all 12 months since I'll already have the transmitter. Obviously insurance plans differ and this is just my group but it is covered.
Minimed transmitters have a productive life of about a year (can be less, only guarantee 6 months) - Minimed was horrible about disclosing this at time of purchase when i started 2 years ago and my first only lasted 8-9 months - I got new then and have gotten 3rd since started. My budget includes a new transmitter each year.
Healthnet I am told is last hold out in California not covering but they covered one period (3 months) after many requests then refused next with no explanation
You should plan on replacing transmitter roughly annually. They are only warrantied for 6 months and tend to fail in the 10-14 month range. Fortunately my plan covers the transmitter as DME with a $1,500 cap, but all supplies, including sensors under drug benefit.
Hi Mike, I'm about to send in my package of 1st appeal paperwork. Medicare BC/BS Advantage Plus.-Mich.. Attempting to get Navigator. I feel I have gathered all information including medical studies printed from comp.
I don't know what, not in this packege, I could include in a very possible second appeal. Was told by CGM person, Abbott, that never has Abbott (Navigator) been approved in Michigan by BC/BS.. She also told me that my paperwork contents are very good. good. With my ever worsening Hypo. unawareness, I certainly need this.
Do you know of any 1-2 things that were what turned the tide for you.
Any help would be appreciated.
Mamsi/United Health Care Optimum Choice I have a $1000 dollar deductable which i have met between my infusion sets and medication most of my CGm was paid for and I was only responsible for a couple hundred bucks. Now the sensors are paid for 100% along with my infusion sets.
Today I am due to receive the Minimed CGMS it's taken me a year to get Regence BCBS of Oregon to cover. I had to go through with all three appeal stages. The independent review organization finally overturned the previous denials!! Now I'm ready for the work to make the technology work to MY advantage!!
The Diabetes Hands Foundation and Diabetes Advocates Program is proud to announce and congratulate the members of DA who were granted scholarships to attend diabetes conferences in 2013! Thanks to a generous grant from Novo Nordisk, in 2013 we were … Continue Reading
El Centro Nacional de Prevención de Enfermedades Crónicas y Promoción de la Salud en el Estados Unidos encontró que a partir de 2002-2009, el 11,8% de los hispanos mayores de 20 años, que viven en los EU, viven con diabetes … Continue Reading