Leslie65
  • Female
  • New Cumberland, PA
  • United States
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Leslie65's Discussions

Insulin pump and Medicare

Started this discussion. Last reply by Ruth on Sunday. 17 Replies

I'm wondering if someone could help me here. I am trying to get approved for a pump, I am on Medicare. I was diagnosed about 10 years ago as a type 2 and have struggled to get control of my sugars.…Continue

Tags: pump, insulin, medicare, c-peptides

Severe Insulin Resistance

Started this discussion. Last reply by Brian (bsc) Jan 3, 2013. 23 Replies

Hi - This is the first time that I have posted anything but I'm hoping that some people on here can help me. I was diagnosed with Type 2 about 9 years ago. At first I didn't have many problems and…Continue

 

Leslie65's Page

Latest Activity

Ruth replied to Leslie65's discussion 'Insulin pump and Medicare'
"Leslie, I'm (we think) a T2 and I qualified for a pump on Medicare, but I almost didn't. My first C-peptide test came out too high. One thing a fellow diabetic told me (a T1 also on Medicare) is that if your blood sugar is high when you…"
Sunday
Tripp Lewis replied to Leslie65's discussion 'Insulin pump and Medicare'
"I am now getting the insulin at Walgreens, as they can charge it as a Part B. I am not sure if it is being processed that way, as now I get some coverage through Medicaid. The advantages of collecting multiple auto-immune diseases."
Sunday
LBREP replied to Leslie65's discussion 'Insulin pump and Medicare'
"If you have a Walgreens, go there. I get mine there and they are all set up to run it through Part B.. Sometimes when I pick up and order they want a co=pay but I remind them to run it through the Supplement and that brings the cost to 0."
Sunday
Tripp Lewis replied to Leslie65's discussion 'Insulin pump and Medicare'
Sunday
Chris Ullger replied to Leslie65's discussion 'Insulin pump and Medicare'
"Leslie65 inbox me :)"
Aug 14
Chris Ullger liked Leslie65's discussion Insulin pump and Medicare
Aug 14
Brian (bsc) replied to Leslie65's discussion 'Insulin pump and Medicare'
"I don't think it is true that Medicare does not cover pumps for T2, they just have a separate set of somewhat discriminatory criteria. And of course each state is separate, but the national coverage determination allows a pump for a T2 if: Meet…"
Aug 14
LBREP replied to Leslie65's discussion 'Insulin pump and Medicare'
"The Do ought hole is going away in 2017 I believe. If you are not already doing so, please review your Part D plan during each Open Enrollment Period Oct 15 to the end of November I have been on Part D for 7 years and have changed plans in all but 2…"
Aug 13
LBREP replied to Leslie65's discussion 'Insulin pump and Medicare'
"News I just received from a Tandem District Manager 1. Medicare CGM Access Act of 2014 introduced in the Senate - Today, Co-chairs of the Senate Diabetes Caucus, Susan Collins (R-ME) and Jeanne Shaheen (D-NH), introduced the Medicare CGM Access Act…"
Jul 31
jesikabeth replied to Leslie65's discussion 'Insulin pump and Medicare'
"Hello, I'm in the same boat. a I am also a type 2. Just dropped off my paperwork today and hope to hear back soon regarding coverage. I'm hoping for the Animas Ping, but would be happy with the Tslim and an Omnipod as my last choice. I…"
Jul 28
meee replied to Leslie65's discussion 'Insulin pump and Medicare'
"Hi Leslie, I hope you can get approval for your pump even if you have to change it. You need your doc to be your advocate here and write a letter of medical necessity. I don't know what the levels are for c peptide for pumps but maybe that can…"
Jul 18
Nell replied to Leslie65's discussion 'Insulin pump and Medicare'
"Just a minor correction here. It is my understanding that Medicare will replace a pump after 5 years but they have no control over the warranty. I had a pump for 6 years on Medicare and it worked fine in the 5th+ years but it was not under warranty…"
Jul 18
LBREP liked Leslie65's discussion Insulin pump and Medicare
Jul 18
LBREP replied to Leslie65's discussion 'Insulin pump and Medicare'
"I am also on Medicare. I was told Medicare does not cover the Omni Pod. This came from the local rep. They do pay for the other brands of pumps. I have a Animas PING and an switching to T:Slim. Medicare requires a 5 year warranty on the pumps it…"
Jul 18
Zoe replied to Leslie65's discussion 'Insulin pump and Medicare'
"I'm confused, Leslie, you said if you don't get a pump you can't afford to stay on insulin. You still need insulin for your pump!"
Jun 28
karen replied to Leslie65's discussion 'Insulin pump and Medicare'
"Hi Leslie, I think you should call Medicare directly to answer your question. From what I have read it is your doctor who prescribes the pump based on the need. I recall that Omnipod was not an approved pump at all for Medicare - but don't know…"
Jun 28

Profile Information

The PRIMARY person in my life who has diabetes has
Type 2 diabetes
How do you hope to benefit from TuDiabetes?
I hope to try and understand this disease more
Date diagnosed
January 1, 2003
Most recent HbA1C %, date of result (optional)
10.8
Type of treatment/devices you use
Shots, Pump
What pump model do you use, if any?
Omnipod

Comment Wall (3 comments)

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At 3:12am on December 8, 2012, brokenpole said…

Welcome to the family! On this forum you will learn so much. Most of all you will learn that you are not alone. Everyone here is supportive and will provide answers to your questions. Search the site for answers. Read the discussions and blogs for information. There are videos to help you understand diabetes and its treatment. Most of all there is family to talk to and even to vent to, if needed. Welcome home.

At 2:19pm on December 7, 2012, Linda G said…

We're so happy that you're finally here!
Welcome home Leslie...
This is a great place to share, to learn, and to grow...all the while meeting new people world wide, and making friends.
Take a peek at some the groups when you get a chance. Just go to the top of your page, and click on "Groups". Once in,
click on "all groups". You can either peruse the wide array of available groups....or simply type a specific interest in the
space provided.
Take in some of the blogs/discussions as well.
The resource boxes at the top of the home "Home" page, and
"About us" at the very bottom of your page and every page (the footer), offer you more information still.
-------------------------------------------------------------------------------------------------
Hope you find the support and information you came looking for.
Here is a useful link to get you on your way:
http://www.tudiabetes.org/notes
--------------------------------------------------------------------------------------------------
Take a look at the group..."Type 2 Diabetics".
----------------------------------
AND....groups for folks with more than diabetes to contend with,
such as
..."Diabetes Plus".
--------------------------------------------------------------------------------------------------
Hey, why don't you come join us in the TuD chat room?
You'll see us at the bottom of the home page.
We have a great time getting to know each other, sharing info and lots of laughs :)
It's on right now!
--------------------------------------------------------------------------------------------------
Take care....and keep in touch!

At 1:24pm on December 7, 2012, SEAGATOR said…

WELCOME to our wonderful family. We are a very caring and supportive group. Questions? Please feel free to ask us. Please read the BLOGS the FORUMS and check out the many GROUPS for much valuable advice and information. WELCOME!!!

 
 
 

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