My insurance company has the same verbage. It has nothing to do with the old Guarding. The insurance companies are trying to argue that if you use a CGMS for 3 days, twice a year, you can learn enough trend info to maintain your diabetes without having CGMS continuously.
Just another way they are trying to weasel out of this.
Scott
Quote:
Originally Posted by JediSkipdogg  Tony, it sounds to me like they may have no idea what you are fully talking about. What it seems like they think is you are using the old Guardian at a doctor's office. Therefore they are looking at the cost of that. And in those terms, that cost is ALOT greater. It's like $250 for a 3 day wear. So instead of $5200 a year, they are thinking $30,000. Just a thought that maybe you could use if you decide to appeal again. Explain that it is a device that is home use and does not require expensive doctor visits anymore than you have now. |
