Replies to This Discussion

Permalink Reply by ENDSwME on March 22, 2012 at 11:16pm

I have an insurance claim pending to BCBS of Alabama since about last August that they still havent paid to Insulet. I was told this by a rep who also said that BCBS no longer has a contract with them and will probably send me a check for the payment that I should send to them. Im not complaining though because that has postponed me from having to pay my copay. I switched insurance at the beginning of the year though so im not sure how things would have played out.

Permalink Reply by Hank Barnes on March 23, 2012 at 5:39am

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"

Permalink Reply by Lisa on March 23, 2012 at 8:32am

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.

Permalink Reply by Kristen on March 23, 2012 at 1:04pm

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...

Permalink Reply by Cherise on March 23, 2012 at 5:06pm

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.

Permalink Reply by Jaybear on March 24, 2012 at 1:24pm

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.

Permalink Reply by Jaybear on March 26, 2012 at 12:00pm

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.

Permalink Reply by Lisa on March 30, 2012 at 1:02pm

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.

Permalink Reply by Brian Whitlock on March 29, 2012 at 7:40am

Insulet contacted me and let me know that I needed to go through a 3rd party for my pods, for 2012.

Permalink Reply by barbraann on March 29, 2012 at 8:15pm

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!!!

Permalink Reply by shzowie on April 1, 2012 at 8:54pm

We have BCBS TX and get our supplies straight from Insulet. They've never said otherwise.

• ‹ Previous
• 1
• 2
• Next ›
• Page