05-13-2007, 06:01 AM
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| Administrator
I am a: Type 1 | | Join Date: Feb 2002 Location: Rhode Island
Posts: 4,176
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Quote:
Originally Posted by someone 
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..
| You must have some form of insurance, right?
The following is from the Texas insurance code chapter 1358. Diabetes subchapter A. Quote:
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Sec.A1358.054. COVERAGE REQUIRED.AA(a) A health benefit plan
that provides coverage for the treatment of diabetes and conditions
associated with diabetes must provide to each qualified enrollee
coverage for:
(1)AAdiabetes equipment;
(2)AAdiabetes supplies; and
(3)AAdiabetes self-management training in accordance
with the requirements of Section 1358.055.
| Quote:
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Sec.A1358.056. COVERAGE FOR NEW OR IMPROVED EQUIPMENT AND
SUPPLIES.AAA health benefit plan must provide coverage for new or
improved diabetes equipment or supplies, including improved
insulin or another prescription drug, approved by the United States
Food and Drug Administration if the equipment or supplies are
determined by a physician or other health care practitioner to be
medically necessary and appropriate.
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__________________
Tony
Administrator of Diabetesforums.com "Weeding my way through Diabetes, and taking all of you along for the ride." - archimeech |
