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I sought coverage from United Health Care for my CGMS that accompanies the Minimed Paradigm 722. UHC denied coverage, and I paid out of pocket for the cost of the CGMS.

Insurance companies need to GET A CLUE and realize that PREVENTING complications of D is a GOOD investment, and worth the money, in the long run!!

Thanks, Gina, for making today the "Raise Your Voice" day re CGMS denial. Anyone else who has been denied coverage should participate in the RYV day today!! Click here for more info.

Tags: cgms, denial

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Katie I. Comment by Katie I. on October 28, 2008 at 7:03am
Nikki, I applied for the CGM over a year ago, so I think I just got UHC's standard response. My endo wrote a letter on my behalf, stating that she found it medically necessary, but they simply told me that they didn't cover the CGM or the sensors. I think things have changed now, thank goodness, and they are more amenable to considering appeals. Did you have to appeal, or did they grant coverage right away?
Nikki DeFalco Comment by Nikki DeFalco on October 27, 2008 at 10:22am
Oh wow, I have UHC and they approved me. What were their reasons?
Gina Capone Comment by Gina Capone on July 14, 2008 at 8:18am
I started an online petition: http://www.ipetitions.com/petition/CGMSdenial/signatures.html
Marshy Comment by Marshy on July 2, 2008 at 2:55pm
One mile ambulance ride to hospital: $2920.00
Hospital bill for useless tests: $33592.94
Box of ten sensors: $350

Denial of benefits: Priceless
Karen Comment by Karen on July 1, 2008 at 8:43am
Well said!!!

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