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Upset over insurance LinkBack Thread Tools Display Modes
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Old 12-01-2008, 09:04 PM
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Join Date: Dec 2008
Posts: 3
Upset over insurance

No one, parent, child, or adult wants to hear that they have diabetes or other disease. This is devastating enough as a health issue, but then.......bam...you find your health insurance that you are paying 1,000.00 (yes one thousand) dollars a month for does not even cover test strips??????? And then the pharmacy brand of syringes are supposed to be generic (which should cost me 0) cost 25 a month because BC/BS does not have a box to check for pharmacy generic..........so I pay brand price. My family of four lives on my salary which is less than 45,000 a year, it is extremely difficult to buy diabetic supplies let alone go to the doctor as needed. How do insurance companies get away with this?
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Old 12-01-2008, 09:10 PM
poodlebone's Avatar
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I am a: Type 1
 
Join Date: Apr 2006
Location: NYC
Posts: 2,325
What state do you live it? I know most states mandate coverage for diabetes supplies. Did you have a prescription from the doctor for the test strips? It might be that your insurance covers them as DME and not pharmacy.

As for the syringes, it's ridiculous that you have to pay a brand name co-pay for them. It sounds like the pharmacy may not be submitting the claim correctly. If they insist on charging the brand name co-pay, I'd insist on getting BD syringes.
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Liz
Type 1 dx 4/1987
Minimed Paradigm 722 6/2008 + CGMS
13mm Silhouettes + Sure-T infusion sets
Lifescan UltraSmart & UltraMini
Last A1c: 7/15/09: 5.8
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Old 12-01-2008, 09:17 PM
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Join Date: Dec 2008
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I currently live in Florida. And yes I do have a script for strips, but due to this insurance they have to be filed on major medical and not pharmaceutical. This means I have to meet the deductible before insurance will cover.
Wal-g is where I get the syringes, they fully acknowledge that their brand is a generic but insist that the problem is on BC/BS because they do not have a drop down box to click generic syringes. If I insist on BD then I will have to pay 50 instead of 25. See they get you anyway you go.
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