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View Poll Results: What option best fits you and your insurance company? | |
The CGMS was a covered benefit. I bought it, then submitted a claim. It was easy.
|    | 1 | 6.25% | |
The CGMS was a covered benefit. I bought it, then submitted a claim. It was hard.
|    | 1 | 6.25% | |
The CGMS was a covered benefit. Insurance paid for it before it shipped. Very easy.
|    | 1 | 6.25% | |
The CGMS was not a covered benefit. I bought it anyway and I'll just self-pay.
|    | 1 | 6.25% | |
The CGMS is not a covered benefit. I bought it and I'm working towards getting reimbursement.
|    | 2 | 12.50% | |
The CGMS is not a covered benefit and I won't get one until the insurance will pay for it.
|    | 10 | 62.50% |
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04-11-2007, 06:39 AM
| | Junior Member | | Join Date: Mar 2007
Posts: 52
| | | What are you finding insurance coverage like for the CGM systems and sensors? Have you been denied? Was it verbal, or written? If they were covered, how did you do it? Did you buy the system, then submit a claim, or wait?
I also am curious to know if you were denied, was the denial verbal or written? Does the denial agree with your interpretation of the policy contract? How did you conclude that you weren't covered?
Last edited by Dewey : 04-11-2007 at 09:28 AM.
Reason: merged
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04-11-2007, 09:31 AM
|  | Super Moderator
I am a: Type 1 | | Join Date: Jan 2004 Location: Mid-West
Posts: 7,265
| | I'm working on mine now, so will let you know how it goes...I got a little confused, lol. Last night, I received the letter of medical necessity from my endocrinologist. I was a little down 'cause I thought he was going to send the prescription to me as well (to forward on to MiniMed), and when I opened the mail, it wasn't there. Then, I got an e-mail from my local MiniMed rep. this morning, stating that the company has received my prescription & they're going ahead & ordering/sending me the Guardian system. Talk about confused, LOL!  I guess now I need to forward the letter of medical necessity on to my insurance company (& pray!). I will say that the both times hubby spoke with ins., they said they'd cover up to x amount, providing they receive a letter of medical necessity and the prescription is written for DME (which is what the Guardian system, transmitter & sensors are).
__________________ ALL my love, Carwy & Best wishes for a healthy new beginning! 
Saying prayers for him & all our friends, every day.
_______
"Someone must speak for them. I do not see a delegation for the four footed. I see no seat for eagles. We forget and we consider ourselves superior, but we are after all a mere part of the Creation."
--Oren Lyons, ONONDAGA
______
Pumps & Meters Used:
MM506,7,8,11 & 12, Cozmo, Animas 1200 & 1250 Many
A1C: 6.4
Type I 26yrs, pumping 12
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04-11-2007, 12:31 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Jul 2006 Location: Kent, WA USA
Posts: 2,772
| | | I just called my insurance to see if it would be covered. In most states it is not. I live in WA state, where it's mandated that diabetic supplies are to be covered as long as it's medically necessary. So, I would just need to get a SMN from my endo and CGMS would be covered at my DME rate.
I couldn't figure out which to check off in the poll, so I didn't respond there...
__________________  Rikki @--'--,--'--
Diagnosed in 1989
A1c 6.4 - Mar. 08 
Currently pumping Novolog in my PURPLE MM722!
Every time you Can Has, God kills a LOLcat. My Blog My WW Blog |
04-12-2007, 11:07 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Oct 2005 Location: Sacramento California
Posts: 2,515
| | | My insurance wont cover, and I MIGHT buy one despite. I voted for the last option. |
04-12-2007, 11:18 AM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2004
Posts: 5,816
| | Quote:
Originally Posted by BriOnH  My insurance wont cover, and I MIGHT buy one despite. I voted for the last option. | I'm with Brain on this one. |
04-12-2007, 11:40 AM
| | Member
I am a: Type 1 | | Join Date: Oct 2006 Location: Poulsbo Wa
Posts: 172
| | Quote:
Originally Posted by Rikki I just called my insurance to see if it would be covered. In most states it is not. I live in WA state, where it's mandated that diabetic supplies are to be covered as long as it's medically necessary. So, I would just need to get a SMN from my endo and CGMS would be covered at my DME rate.
I couldn't figure out which to check off in the poll, so I didn't respond there... | I did not know that. Was this a recent move on the part of our legislature? Good news if it will work and there is no angle to get out of it.
I will see my Endo 4/25. I have the Minimed forms in hand now. Hope to get to the next step in treatment sooner than later.
__________________
Type 1 since September 1978. Pumper since 1998.
I want to die sleeping peacefully, - like my grandma; not screaming with horror, - like those, who were as passangers in her car.  |
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