Replies to This Discussion

Permalink Reply by Rene on July 15, 2011 at 8:01am

I have been on Medicare for 5 years and they covered an updated pump for me. It is a Medtronics and my understanding they will cover an update on your pump when it goes out of warranty. I use the Paradigm.
There has been talking of covering CGMs for the past few years and nothing has happened that I am aware of and frankly given what is going on with the politic and economic situation I do not see it happening.
Irene

Permalink Reply by 4xgrandma on July 15, 2011 at 9:58am

So you already had your pump when you went on Medicare, and then you got a newer version of it? That's one thing I'm wondering - if it's better to get it before going on Medicare or after.
Linda

Permalink Reply by Dennis on December 20, 2011 at 8:51pm

I would Get one BEFORE.. I've been thru 2 Endo's since Getting On Medicare and No Luck
And Imagine all the USED One's out there?
Why can't we at least have one of those?

Ans? $

Permalink Reply by Natalie ._c- on July 15, 2011 at 12:31pm

So far as I know, the requirement is the same -- whether you have a pump or not, you have to take a C-peptide test that proves you are below 110% of the lowest normal level of insulin secretion. If you are above that, no pump. The reason is obviously to weed out Type 2's, who in some cases really could benefit from pumps.

As far as CGM's, I don't see any hope for that for decades. Maybe centuries? Our world should survive that long!

Permalink Reply by 4xgrandma on July 15, 2011 at 12:55pm

What pump do you have?

Permalink Reply by Natalie ._c- on July 15, 2011 at 3:34pm

I have a Medtronic 722, but Medicare also covers Animas. But not Omnipod.

Permalink Reply by 4xgrandma on July 15, 2011 at 5:14pm

I know just my luck.

Permalink Reply by JDavid on November 27, 2011 at 9:46pm

I am going to TRY and get medicare to allow me to try pumping. MY kidney function has been on a decline, would like to halt or slow the decline.

I read somewhere (??) that medicare may make an exception for T-2 diabetics with eGFR below 50. My eGFRs have been running mostly in the 40s, lowest high 30s.

My diabetes is a bit weird, had several labels over the years. I first had a BS problem at age 14, threatened with shots, but got better, happened again in the Navy at age 22, then hospitalized at age 34 after a meat-wagon ride to ER, where I was formally Dx'd as diabetic.

Gomer

Permalink Reply by Brian Wittman on March 1, 2012 at 8:08pm

Your endo should run a whole gambit of tests. I have declining kidney function too, and in the testing process they found antibodies. No wonder the type 2 approach wasn't working too well. I got my pump right away and Medicare covers it under the durable medical equipment clause in their coverage contract.

Permalink Reply by 4xgrandma on March 2, 2012 at 3:18pm

I know that Medicare covers pumps, they just don't cover the OmniPod.

Permalink Reply by Lou A on June 21, 2012 at 6:48pm

I am a type 2, medicare has paid for my pump, supplies and meds under part B. If your endo. states that you need the pump and you meet the C-pep threshold you will get the pump. Been on a MM 723 for two months. My A1C went from 9.7 to 6.5 and I looking for a lower number next time.

Permalink Reply by CountyClare on August 27, 2012 at 5:53pm

I have been on Medicare for about 6 years and have used Medtronic Pumps since being on Medicare. Recently updated to the Revel Pump and Medicare covered that also. Looking forward to Medtronic's Tubeless Pump. Best of Luck to you Linda in your search.

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