Replies to This Discussion

Permalink Reply by Scott on March 22, 2012 at 1:34pm

We use BC/BS of NJ and buy directly from Insulet.

Permalink Reply by Benjamin McLaughlin on March 22, 2012 at 1:43pm

I am currently on bcbs of Louisiana. I was just accepted for the omnipod and dexcom. I went through pumpsit. I highly recommend them. They know how to work with insurance and are very personable.

Permalink Reply by Lisa on March 22, 2012 at 2:02pm

Scott, have you placed an order recently? I used BCBS of TX last year and didn't have any issues. Now I'm told that Insulet is to get a contract renewal with BCBS.

Thanks Benjamin for the recommendation.

Permalink Reply by FHS on March 22, 2012 at 2:16pm

BCBS of California renewed me at the start of the year.

Permalink Reply by Janice L Cotton on March 22, 2012 at 2:16pm

Here's my story....I received a notification addressed to Insulet but to my home address, stating that the claim had been mistakenly sent to BCBS. I was directed to and they forwarded my information to Central States. A few weeks later, I receive a check to Insulet for the usual insurance payment--which I forwarded to Insulet. This was for a shipment w a a y back in September of 2011. YIKES!! Are they that far behind?? When I recently called to place an order, I was told that BCBS was no longer making paymments. I was given the name of Doubek Medical Supply (in Illinois). They actually called me. They asked me a few questions and I received my shipment in a prompt and timely manner My out of pocket is slightly higher. I also ordered my test strips through them--they were $20 cheaper.p>

Permalink Reply by Lisa on March 22, 2012 at 2:34pm

That is strange because they keep telling me that they are taking BCBS and eating the difference between in and out of network. I believe I will start going through Edgepark. When I called them in January they told me that they were in network with BCBS. Now I have to get my $400 deductible from Insulet because I went ahead and paid my deductible with them and the remaining cost. Because they haven't processed my claim I had to pay my deductible on another claim.

Permalink Reply by Rebecca on March 22, 2012 at 2:22pm

I'm on Keystone BC/BS in PA. They've always made me get my pods from CCS medical. It's never been a problem though.

Permalink Reply by HPNpilot on March 22, 2012 at 2:40pm

With my company's BCBS plan, I had to get the Omnipod fulfilled via
a 3rd party DME provider - in my case, Better Living Now. Then the pods were filled via our pharmacy provider, MEDCO. I was told that this was because Empire BCBS [NY]did not have a contract directly with Insulet. I do not know if this applies to other plans...

Permalink Reply by amy mercer on March 22, 2012 at 3:53pm

I have bcbs and was directed to a 3rd party (liberty) to order my latest package of pods just for that reason.

Permalink Reply by Michele Stark on March 22, 2012 at 5:19pm

We also have a bcbs and my december shipment was all of the sudden billed as out of network with a seperate deductible. I was on the phone and after bcbs blamed insulet, insulet explained that they had been billing all bcbs claims through bcbs of massachusetts and now bcbs is requiring insulet to get a seperate contract with each individual bcbs plan. Insulet ate the $800 extra this cost us and only billed us like they had been participating. They then set us up with doubak medical supply which is working just fine.

To me this just illustrates how cumbersome and beaurocratic our health care system is. There has to be a more efficient way.

Permalink Reply by Janice L Cotton on March 22, 2012 at 7:10pm

I think I'll be making a preemptive strike. There's no way that I'm trying to just roll over and pay extra when I had no warning that something was afoot.

Permalink Reply by Eric Rizzo on March 22, 2012 at 5:38pm

No problem here, with BCBS Federal Employee plan. I received my first shipment of the year a few weeks ago and got the normal bill (deductible + co-insurance).

• ‹ Previous
• 1
• 2
• Next ›
• Page