[condensr]

There is an incentive financially for insurance companies to cover CGMS systems, too:

Which costs more, one visit to the ER for a severe hypo, or a CGMS system? I think the ER visit is more.

If these systems save just ONE ER visit for a high/low then they have pretty much paid for themselves. Also, while they can't replace fingersticks for treatment decisions, they sure can cut down the amount of expensive strips used when one is trying to get a good idea of their patterns and testing all the time for it.

I was denied coverage for these as well (twice!) and I have coverage that is considered some of the best around. I have one more appeal (to our benefits administrator, as our plan IS self-funded) but Premera BC has just plain said no, it's not medically necessary. They don't agree with one of the most distinguished endos around that says it is, and prescribed it.