My appeal to BCGSIL for a Dexcom was approved today!

Little known fact.....The CPT code for the sensors (A9276) was approved for payment for all BCBSIL members on 3/1/09. So I put in an appeal on 3/4/09 and was flatly denied on 3/6/09!

Now I'm mad - how can they deny this when one of the three codes is now approved for payment?! I put together another appeal letter and received written confirmation that it was received on 3/9/09.

This morning I received a call that it was APPROVED - YES!!

Tags: APPROVED, BCBSIL, CGMS

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Sorry, but I don't know what BCGSIL and CPT mean. Can someone enlighten me?
I'm sorry - Blue Cross Blue Shield IL and CPT is the term that providers bill services, etc. under for reimbursement from insurance companies.
Thanks...I should have known since Blue Cross Blue Shield is my insurance!
YEAH! CONGRATS!

Lois La Rose
Milwaukee, WI
Thank you!
Congrats that is WONDERFUL!

We are so excited to upgrade in May!
Thank you! Do you already use the Dexcom? Did you see the new Dexcom Seven Plus? It's way cool!
Congratulations. I have a question, did you have to give a reason for the CGM? I would like to apply for one for my daughter, she has hypo unawareness, but our Doc only said let our dog sleep with her. I would however like something that will let her know when she is on the way down, rather than finding out when she is 34, and barley feeling it. She has only had diabetes since Nov. 08. Just curious. I have Blue cross PPO and 100% coverage, so I am hoping that they just say ok. Thanks!
That doc doesn't sound like the greatest of physicians. I am also interested in this topic, but we have different ways over here, in relation to obtaining CGMS.
Patti - just signed up to respond to you. I also have BCBSIL and as of 4/1 I'm sill being told there is no cgm coverage. My doc sent in a very strong letter of necessity and it was denied and appeal denied also. Can you give me contacts please? I run a Type 1 support group in Wilmette. Thanks - Merle
Congratulations ... that is a great accomplishment! I hope you are happy with your new device =)
Thanks Stacey! The new Dexcom 7 Plus has so many new features - you can log the insulin you took, exercise, reasons for highs or lows. I LOVE it!

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