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Originally Posted by Funnygrl  Duck, is insurance going to pay? I find out tomorrow or Tuesday if I can get a 522. I'm honesty not optimisitc. I really want a CGMS, but I'll find a way to get one whether I get a 522 or not, and I love my Cozmo, so I'll be find it they won't. |
They are paying their rate on the 722, but seem to be confused as to whether they will pay for the CGMS activation on the 722 (apparently, MM charges about $1000 to activate the CGMS on the 722, or $1339 for the Guardian...with the Guardian at that price, you get three sensors and the transmitter, with the 722+activation fee, you get ten sensors, the transmitter, etc.) As stated, they apparently will assist with paying for the Guardian, AND 722. I know it took me maybe twenty minutes to sort all this out, but for an insurance company to not understand the minor differences in the two systems is beyond me. I'm still paying for a decent portion of it all, but that's fine. We're not rich but I need to count my blessings and realize we're not poor, either.
And, if I have to, I'll pay MM the $1000 to get the CGMS turned on with the 722...what's funny is my insurance told me they would NOT cover the replacement sensors if I use them with the 722;
but they WILL cover them for the Guardian at their DME rate. What's the difference? None. So I'm going to ask my endo to write me a prescription for the sensors for
a Guardian. Again, the confusion is amazing.
I don't know if I asked, but why not get the Guardian, then? I wasn't opposed to doing that, except my care team talked me into the 722 (and actually, my wife too).
It is my understanding that *most* insurance companies will assist in acquiring a pump if there is a valid medical necessity--a change in condition is considered valid.
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Originally Posted by jeggeman31 Duck I will also be speaking to my ENDO about changing over to the 722 with the CGMS.
Good Luck |
See my last note above...and good luck to you too.
