Replies to This Discussion

Permalink Reply by Theo on February 11, 2013 at 6:42am

Your pic displays the billed amount which is usually a high amount which has nothing to do with the actual paid amount by the insurance company.
The actual paid amount varies depending on the agreement with the insurance company, in my case it was a bit over 50% (see attached).
BTW, these are orders of Seven+ (sensors, entire unit) and maybe glucometer strips from couple years ago just to illustrate my point.

Attachments:

• edgepark example.jpg, 103 KB

Permalink Reply by DiabeticRadio.com on December 13, 2012 at 6:39pm

Now, do you know what the messed up part is? When I thought my dexcom was faulty, and I refused to give my credit card as security for an exchange, they said that I would be billed $200 for a new receiver! Huh???????? It's all a racket girl! Trust me.

-Yogi

Permalink Reply by MegaMinxX on December 13, 2012 at 7:02pm

Sorry you are experiencing such problems, but I think Edgepark is the one billing the above amounts. I've heard others report the same regarding Edgepark, which fortunately I don't have to deal with.

This looks like the $700 lab bills I get, that end up being $20-30 after the insurance provides the allowed cost, and I end up owing only $5.

I hope the adjusted amount for you after processing is much less. Otherwise. you might be better off going direct to Dexcom and getting their 'cash' price, w/o insurance or 3rd party companies like Edgepark.

Permalink Reply by DiabeticRadio.com on December 13, 2012 at 7:07pm

Fortunately, I have met my deductible, so it is fully paid for by my insurance. However, be cause it's so expensive, I wind up waiting towards the end of the year to get one (until I meet my deductible).

-Yogi

Permalink Reply by Amy on December 16, 2012 at 3:37pm

it depends on your insurance. I recently updated my post that I have in regards to the dexcom. I'll have to pay over 3000 for it to begin a new one and about 460 a month for the sensors.

Permalink Reply by DiabeticRadio.com on December 16, 2012 at 4:03pm

OMG!!! They don't have some kind of patient assistance program or something? That's like having no insurance at all @ those rates.

Permalink Reply by Amy on December 16, 2012 at 4:22pm

Its ridiculous on how much I have to pay up front. I wrote about it in the post I made. I emailed my rep to see if we can start over how much will it be.

Permalink Reply by Mary on December 16, 2012 at 8:15pm

I spoke with my rep and found out that since I got my 7+ in September everything will be covered under my old contract. My cost for a new transmitter will be around $35. I guess it all depends on your insurance.
When are they going to realize that paying for these thing in the long run saves them money?

Permalink Reply by DiabeticRadio.com on December 17, 2012 at 5:45pm

Glad to hear that Mary! Well, I often wondered about that same thing when it comes to insurance. But, the problem really isn't the insurance company, it's the manufactures that set these outrageous prices for these technologies. Insurances are only business that are trying to take care of their customers without going broke in the process.

-Yogi

Permalink Reply by Jeff Dempsey on December 18, 2012 at 8:58am

You mean these technologies that we have been clamoring for, and Dexcom had to:

1. Invent it at risk to the company and investors
2. Get it through the testing process, so no one would be harmed by the technology, and it did what they intended it to do.
3. Submit to the FDA for approval, with which, they couldn't sell it in the USA. (See Animas VIBE...)
4. Market it to the public against competition (who has a T:Slim pump, or the Animas vs. Minimed controversy)
5. Manufacture them in a cost efficient manner.
6. Make a profit for their original investors, and keep the company going. (Yes, the profit motivator is a good thing. Who would invest if they just broke even?)

As I have told my 7 year old daughter, demand drives price. She can sell lemonade on a hot summer day for $1/cup, as long as it is good, but in the snow, she'd be lucky to sell it for a dime.

Permalink Reply by MikeU on February 11, 2013 at 11:50am

Insurance companies are for-profit businesses. They are not in business to "take care of their customers" any more than Dexcom or Wal-Mart. The insurance business in its entirety is at least as evil as any other business.

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