Which insurance covered your CGM

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Permalink Reply by Rickst29 on November 12, 2009 at 12:58pm

Thank you Stephen, for winning another good fight (with Kaiser of Northern California).

Just as I did with Wellpoint and it's myriad of "Blue Cross Blue Shield" DBA companies, you have taken on "big insurance" and force them to cover the device, setting a precedent for the PWDs who follow. Bravo!

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Permalink Reply by Allison Blass on November 12, 2009 at 2:49pm

United Healthcare (in NY/NJ area) covered it 100% and supplies too.

I just switched to Anthem BC but I don't start the plan until January, so will report back then!

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Permalink Reply by Tom Goffe on November 12, 2009 at 3:57pm

My checkbook - thanks to my VA disability pension.

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Permalink Reply by Brett on November 12, 2009 at 6:56pm

BCBS of Kansas denied me :( Not cool, since I live alone...

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Permalink Reply by David on November 12, 2009 at 8:02pm

United Health Care covers durable medical at 50%. I pay half but still welll worth it.

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Permalink Reply by Bethany on November 12, 2009 at 9:35pm

Has anyone gotten it covered under BCBS of Alabama? We have the option through my Husbands work to stay with BCBS of A or switch to Aetna. I'm not sure which one would be the better option.

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Permalink Reply by Jacky Del Hoyo on November 14, 2009 at 4:28am

BCBS New York covered with no prior authorization as long as Dr provided requested docs and lab results, I'm covered until Jan 1 for 1 sensor a week usage (Dexcom system). For 19 year old daughter, she did need to get prior approval. Took about a month, but there was no denial letter, and she is covered until Jan 1 for 1 sensor a week as well.

We'll see what happens in Jan and when I attempt to get a systen for 11 year od, but right now, neither of my girls want to wear it full time, so I think sharing 2 systems between the 3 of us will work for now.

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Permalink Reply by John Trienis on November 14, 2009 at 9:22am

I have an Oxford HMO and they have covered my pump and supplies for 6 years. They have been paying for sensors for about a year with authorization.

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Permalink Reply by Rachel on November 16, 2009 at 8:56am

Medica (state insurance plan) covered it 100% just found out today:) so excited dexcom all they needed was the doc authorization.

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Permalink Reply by KiwiRox on November 16, 2009 at 9:15am

I originally was with Unicare (using BCBS network), but now with Aetna. Both through group insurance in a national coverage. My pump and CGMS are both covered under my plan's DME (durable medical equipment) and are covered at 100%. It really depends on your plan, as well as the company. However with that said, with Unicare it did take about a year to finally get it covered and get my reimbursements for the first order. I had to send months of blood test results, lab records and my doctor wrote an appeal. Now it goes much smoother.

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