Has anyone out here heard that Insulet is now out of network with BCBS? I called the first of the year to give them my new insurance info and the lady told me that they did not carry BCBS. So I went to Edgepark and was about to call them back to place my order when Insulet called me and told me that they are in network with BCBS. So I placed my order with Insulet and now it's been 2 months and they have not process my claim. I've called twice asking them what is taking so long. The first time I called I was told it was sent to the wrong BCBS and that they resent the claim to the correct one. After another month and nothing was showing up I called again and then was told they are out of network. He then told me that Insulet is in the process of trying to renegotiate their contract.
Is there anyone else out here on BCBS and using Insulet or were you directed to a 3rd party to order your pods?
BCBS of North Carolina also does not have a contract with Insulet. I was told about it in January by Insulet. They tried to send me to Edgepark and said Edgepark would call me to set it up. After 3 weeks and no call from Edgepark, I started calling around and found Better Living Now. They called me right back and seemed responsive. I got my first shipment of pods from them in February, and will be getting my test strips from them also. So far, so good. BCBS is different in every state it seems. You have to stay on top of them like we have to do on everything related to this "diabetes thing"
Thanks everyone for the info. I was wondering if BCBS is different for each state. I guess I'm going to have to give Insulet a call back to see about getting my $400 deductible that I paid them in January and then switch over to Edgepark. I used them when I was on United Healthcare and they have me on file.
I just wish that Insulet didn't call me back in January telling me that they did carry BCBS then I wouldn't be in this situation with them.
It's so frustrating. You are right Hank you do have to stay on top of anything that is diabetes related.
I use BCBS of Montana and had been fighting with them since last August to approve the Omnipod for me. At the first of the year, I was told the same as you were with the exception that I would have to work with Edgepark to finish my appeal instead of Insulet. I highly recommend Edgepark as they did everything they could to get me the OmniPod and I am proud to say that I started on it this week! When Insulet told me that they would no longer be able to help me, I called Edgepark directly, got my rep's name, and have been in touch with him ever since. I hope that you get this figured out quickly! I know how frustrating it can be...
I can call Insulet to order my supplies but I have to go through a third party for billing. Its been that way when I had BCBS and even now with my new insurance of Cigna. Both are a pain in my butt.
I just tried to reorder from Insulet, which I have done many times with BC/BS of Texas. I was told that due to contracting issues, Insulet is now out of network, and I have to use a third party distributor to obtain in-network benefits.
I'm not happy. My experiences with third party distributors have been uniformly awful. The newest distributor (Byram) assured me on Wednesday that my new order of pods was on the way and that it would arrive on Thursday. On Saturday afternoon, I still do not have them.
Insulet needs to get this fixed.
Just to add to my previous post... . I called Byram today, and they told me that they did not actually have my shipment of pods shipped next-day as they had assured me. My pods will finally arrive tomorrow (i.e., almost two weeks after my first contact with Byram).
Again, Insulet needs to get this fixed.
Hi Jaybear. Sorry for the delay in getting back out here. I've been busy at work. I've used Edgepark in the past and only had one issue with them at the beginning, 3 years ago, but after that everything was great. They have a distribution center in Fort Worth and I would get my shipment the next day. But before I do anything I'm going to call BCBS of Texas to ensure that Edgepark is in-network with them. Like I said in my earlier post Insulet called me back and told me that they were in-network with BCBS so I'm going to verify before contacting anyone now.
Thanks everyone for your post.
Insulet contacted me and let me know that I needed to go through a 3rd party for my pods, for 2012.
It really depends on your insurance. I have BCBS Michigan with General Motors and they didn't even cover the Omnipod system until several of us fought and got coverage. It's a pain in the arse for sure. Good luck!!!
We have BCBS TX and get our supplies straight from Insulet. They've never said otherwise.