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Thread: New Pump
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  #11 (permalink)  
Old 07-15-2007, 08:02 PM
duck's Avatar
duck duck is offline
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Join Date: Oct 2003
Location: Manassas, in the Old Dominion
Posts: 6,486
And they won't cover the Guardian at all?

Actually, you'd be in for something of an uphill battle with your insurance company (I bet) if you inquire about the Guardian. I called mine twice before I decided to pay out of pocket for the Guardian. Then I decided to call the local MM rep who had contacted me months ago since I was still in their records (but no longer using their equipment). She told me I should call my insurance one last time, and ask what would happen if I had a letter of medical necessity and evidence of a change in condition, would a CGMS be approved then? I got a really smart person that third time I called (and of course I'm going to call her smart since she helped me out), and she told me her immediate documentation said no, but there were notes that indicated it was not a definite no...so she contacted a supervisor and then her support line, who interpreted her info that she had as "approved with statement of medical necessity". She documented all that, thankfully.

Of course, twice since then (and it was only July 6 when I had that conversation) I've had reps at my insurance company tell me Guardian is NOT covered under any circumstances. It's been nice to point them to the notes from my call earlier in the month and listen to the back-tracking afterwards.

I'm just putting this out there in case you or someone else wants to try this as well...
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