Which insurance covered your CGM

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Permalink Reply by Jan on April 16, 2009 at 2:45pm

Oxford Health Plans
a UNITED Healthcare Company
Oxford Exclusive Plan/Freedom Network
RxGrp: OXFRDHP
United Healthcare
Choice Plus Network
Available New York north of Ulster County
and all other states except Connecticut and New Jersey

Hi, we are in Westchester County, NY. I typed out the whole card for you (without personal info). It is high time someone kept track of all insurance (and what plans in the insurance) covers cgms. Thank you!

P.S. They did deny; we appealed; denied again; we got it on our second appeal; First, we have written records (using her endo's logbook sheet) and have kept them since diagnosis. Every three to four hours round the clock; food, exercise written in. Everything. Second, the records are on our pump. We test 15 times a day now.
P.P.S. It is difficult for her to wear the Minimed cgms, although she needs it desperately, because of that huge introducer needle, which has caused problems for us before. If MM does not reduce the size of their needle shortly, we will go over to Dexcom. We love the MM pump, as we feel it is so reliable, so won't switch the pump.

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Permalink Reply by Linda on April 20, 2009 at 10:57am

I just received my 3rd replacement MM 722 pump with CGM covered 100% by Healthnet. No copays for sensors either. I've been on the pump for many years and have had diabetes for 48 yrs. I'm very thankful about the inurance coverage!!

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Permalink Reply by Kerri Sparling on April 20, 2009 at 1:22pm

Oxford Insurance in CT. But only after the JDRF study could be used as an appeal weapon! :)

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Permalink Reply by Chris on April 21, 2009 at 9:44am

I have United Healthcare and my CGMS was covered at 100% (so far). I am not sure if my special circumstances helped in that or not. I am hypo unaware, and my last a1-c was 4.6. That could have played a part in the 100% coverage decision. Originally I thought it was only going to be covered at 100%, but after medtronic verified my insurance they said it was covered at 100%.

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Permalink Reply by Jim Devlin on April 21, 2009 at 10:01am

Any body ever get Medicare to cover CGM?

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Permalink Reply by Chadd on May 18, 2009 at 1:27am

I was accepted throught Blue Cross Blue Shielf of ND of May 2009. Was denied once, MiniMed appealed their case and was accpeted the second apeal process.

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Permalink Reply by Rick Kowalczyk on June 29, 2009 at 4:11pm

Tufts. They covered me on my 2nd attempt too. :)

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Permalink Reply by Marcus on July 1, 2009 at 9:20am

Highmark BlueShield in PA, 100% coverage

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Permalink Reply by Chad R Brand on July 2, 2009 at 12:56am

carefirst blue cross blue shield maryland covered me

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Permalink Reply by Erik Weitzel on July 14, 2009 at 5:50pm

TriCare Prime 100% for everyone using the MiniMed CGMS, at least in my region (Texas)

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Permalink Reply by Troy Barolet on July 30, 2009 at 8:02pm

I was 100% covered for CGM by Tricare. I'm active duty with the U.S. Navy, and there were no issues.

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Permalink Reply by Jim Devlin on July 30, 2009 at 8:21pm

How did u get into the Navy with Type 1 diabetes?

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