I got a letter from Express Scripts a few days ago that they would no longer cover NovaLog and I have to switch to Humalog which I don't see as a big deal. BUT as I read further they are no longer going to cover the test strips for my OmniPod which are the Abott Freestyle strips. I did speak with a person in Customer service and they told me that I can file a request to continue with the medications that I'm using which would include the test strips. I REALLY don't want to have to carry another meter around and that is one of the reasons I decided on OmniPod, but now my insurance is saying I would have to pay for the strips at full cost. HAS anyone been successful at getting your insurance to allow the use of the Freestyle strips after they've told you they would no longer cover them??

Views: 638

Replies to This Discussion

When I changed insurance companies I was dismayed to see that they only had a couple of test strips options listed. However, I dug around their site and they did have a form that your doctor filled out for making an exception. There was even a statement on the site that said that they might make exceptions for kinds of test strips that have embedded meters in pumps. My doctor filled out the form stating my case, faxed it in, and within a week I had a letter from my insurance saying that it was approved. I have to get that form filled out by my doctor each year, but oh well!

Yes - we were successful. Our doctor just made an appeal that those were the only strips that functioned with my son's insulin pump and the insurance company gave us an exception.

All I had to do was call and tell them my pump requires the freestyle and they ok'd it immediately.

I used to go to my local CVS/Pharmacy to get my strips and my insurance would not allow the Freestyle no matter what my doctor sent in. When I finally found a supplier that accepted my insurance for the pods, the supplier asked if I needed strips. As it turned out, my insurance magically allowed Freestyle through that supplier. I admittedly have no idea why.

So, another option for you might be to poke around with different suppliers. Good luck!

We have not yet received the letter but I am sure it is coming. We currently get our strips with our pump supplies through CCS so I would have to assume our Free Style strips will still be covered. Insulin on the other hand we get from Express Scripts so I am guessing we will have to change back to Humalog instead. Very disappointing since my dd didn't do as well with Humalog as she does with the Apidra.

You might check to see if they are covered as a non preferred item. The cost would be more, but if you add Freestyle's Promise program to that it should bring the cost down to normal. I use that setup right now. Costs me about $15 per 10 boxes of strips.

RSS

Advertisement



REsources

From the Diabetes Hands Foundation blog...

Meet The 2014 Big Blue Test Grant Recipients

  This year Diabetes Hands Foundation has pledged US$35,000 in Big Blue Test grants, continuing its support for programs aimed at providing lifesaving supplies, medical tests, treatment, and patient education to people living in need who have or at risk Read on! →

Kim Vlasnik: The Patient Voice

  Kim Vlasnik, you NAILED it! In this video, Kim Vlasnik takes our breath away as she describes what its like to be a person with diabetes. Fortunately, Stanford’s Medicine-X Conference gives ePatients, like Kim, a chance to speak since we carry the Read on! →

Diabetes Hands Foundation Team

DHF TEAM

Manny Hernandez
(Co-Founder, Editor, has LADA)

Emily Coles
(Head of Communities, has type 1)

Mila Ferrer
(EsTuDiabetes Community Manager, mother of a child with type 1)

Mike Lawson
(Head of Experience, has type 1)

Corinna Cornejo
(Development Manager, has type 2)

Desiree Johnson  (Administrative and Programs Assistant, has type 1)

DHF VOLUNTEERS


Lead Administrator

Brian (bsc) (has type 1)


Administrators

Lorraine (mother of type 1)
Marie B (has type 1)

DanP (has Type 1)

Gary (has type 2)

David (has type 2)

 

LIKE us on Facebook

Spread the word

Loading…

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information: verify here.

© 2014   A community of people touched by diabetes, run by the Diabetes Hands Foundation.

Badges  |  Contact Us  |  Terms of Service