BlueCross Insurance declares DexCom "out of network"
I've been a DexCom CGMS user for about 2 1/2 years and always ordered my sensors directly from DexCom. I have BlueCross insurance and per DexCom, in mid-October BlueCross declared DexCom "out of network" and therefore I couldn't order from DexCom any more. DexCom forwarded my order, prescription, name, address, etc., to a distributor (their choice of distributor) who'd accept my insurance (and the cost of the sensors increased as a result). The distributor's warehouse is in New York; they were backlogged on orders and then the hurricane hit, which affected shipments (mine finally came from DexCom with a different company's name on the packing slip). The people at the distributor are nice, but have no access to tracking numbers, shipment dates, etc. It took 4 weeks to get a box of sensors. If you have BlueCross insurance, you may be in for a long wait for supplies, as well as increased costs.
Replies to This Discussion
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Permalink Reply by Mark on -
I have Blue Cross and I also use Edgepark Medical for all my Dex supplies - as Blue Cross wouldn't fully cover directly from Dexcom. I've never had a problem with them. And I just got my new G4 today! Luckily I have an out of pocket each year to pay before my Dex & Omnipod stuff is 100% covered, but since it's the end of the year, my G4 was fully paid for!
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Permalink Reply by Joe White on -
I think it depends which BCBS plan you have, out of 100's if not 1000's, I called mine and they are still preferred DME suppliers
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Permalink Reply by Jay on -
Dexcom is still a Federal BCBS participant and run everything through California Blue Shield. This is puzzling.
Avoid Edgepark if at all possible. They dump everything back to Dexcom.
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Permalink Reply by Lynn on
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Sounds like all BCBS policies/coverage areas have differing rules. After placing my order with a distributor (Diabetes Specialty Center), it was shipped from DexCom. Heaven only knows what Blue Cross was thinking---or do they own Byram Health Care which bought out Diabetes Specialty Center June 1???
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Permalink Reply by Meda-Kay on -
I too have Blue Cross and I buy all of my Dexcom units and supplies through Liberty Medical. I've never had a problem.
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Permalink Reply by Amy on -
oy...I have BCBS of MA and use neighborhood Diabetes as my suppliers as I had an issue with animas directly. Thanks for the heads up as I just wrote about my problem with losing my dexcom
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