Replies to This Discussion

Permalink Reply by Lydia on January 19, 2009 at 5:42pm

Healthnet Northeast, though I still don't know whether it is covered as diabetes supply (co-pay, unlimited) or durable medical equipment (% covered up to $1,500/year).

Took me five months of phone calls, letters, appeals, and threats. It's still so expensive I don't know that I'll be able to continue.

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Permalink Reply by Kevin on January 25, 2009 at 11:38am

Cigna (PA) covered 100% of the cost of my Dexcom CGM and 2 month supplies. I think also cover the supplies at 100% but I have another month before it's time to reorder.

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Permalink Reply by Gina on January 29, 2009 at 7:34pm

Sweet! I have Cigna as well, and was worried they wouldn't cover it. Did you have to jump through many hoops?

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Permalink Reply by Rachel on January 29, 2009 at 7:29pm

United Healthcare.

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Permalink Reply by li0nandthelam13 on February 3, 2009 at 5:43am

Medical Assistance is actually covering mine, first time they covered it in my area. I was lucky because they wouldn't before, my therapist and endor. teamed up and made it happen

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Permalink Reply by Troy Barolet on February 6, 2009 at 10:30pm

Tricare. I'm active duty in the U.S. Navy (for now at least), and the covered the entire Paradigm 722 system. I had seen and heard a lot of mixed comments about Tricare covering it, but they came through...

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Permalink Reply by Tim on March 4, 2009 at 7:31am

Anthem Blue Shield PPO (through the HMO side). They covered it at 100%, but it took FOREVER.

I'm grateful to have it though.

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Permalink Reply by Thierry on March 4, 2009 at 5:10pm

United Health Care Choice Plus through my employer AT&T. Not the best, not the worst. I didn't require any appeals. They covered it right away as well as my MedTronic pump. They do not however cover the OmniPod. And now I am locked in with the MedTronic pump for 4 years.

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Permalink Reply by Annelise Murphy on March 4, 2009 at 5:12pm

TriWest (TriCare) the military insurance...we had to jump through alot of hoops and give them lots of records, labs and two letters from my endo. They finally approved it (I have been on it 5 days now!!) I also told them I am thinking about gettting pregnant again. This is true and I think it might have helped alot.

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Permalink Reply by faye on April 10, 2009 at 12:52pm

i have an appointment with a new endo in may and am thinking of asking her for a CGM recommendation. i have keystone health plan east (POS with the university of pennsylvania health system network) in philadelphia. i haven't run into anybody with this plan, or even the keystone hmo, anyone out there?? thanks in advance!

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Permalink Reply by Jim Devlin on April 10, 2009 at 1:49pm

I'm in process of my 2ND appeal. The general public will be informed of the CGM and a notable personality will push for acceptance before the CGM is widely accepted by Insurance Co's.
They must be convinced paying for this hardware is, in the long run, profitable.
A press release submitted to your local paper is always a wecome thing, to these papers, who have many days of problems filling space. Must simply contact a journalist (s) first and talk him/her into letting you send your press release to their desk. Trust me, no big deal.
Smile

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Permalink Reply by Cathy on April 10, 2009 at 2:28pm

I don't have one but my mom-in-law does and her medicare paid 100%.

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