Ok, I researched this law in Texas. I found the following relevant information in Chapter 21, sub chapter R of the Texas Administrative Code.
Quote:
|
(b) As new or improved treatment and monitoring equipment or supplies become available and are approved by the United States Food and Drug Administration, such equipment or supplies shall be covered if determined to be medically necessary and appropriate by a treating physician or other practitioner through a written order.
|
http://secure.sos.state.tx.us/pls/pu...&ch=21&rl=2605
I also found the following on the Texas Department of State Health Services website.
Quote:
What types of health benefit plans are not required to cover equipment, supplies, medication, and self-management training?
Self-funded plans are not governed by the Department of Insurance; they are not required to cover these items, although they could, depending on the terms of the policy.
|
http://www.dshs.state.tx.us/diabetes/dcinsure.shtm
I think it is quite clear that CGMS is not "necessary" (or is it?) regardless of what your doctor says, but either way, I do not even have Texas insurance.
Good luck with that..
