Welcome to Diabetes Forums!
You are currently viewing our boards as a guest which gives you limited access to view most discussions and access our other features. By joining our free community you will have access to post topics, communicate privately with other members (PM), respond to polls, upload content and access many other special features.
Registration is fast, simple and absolutely free so please, join our community today!
If you have any problems with the registration process or your account login, please contact contact us.
|
 | 
10-02-2007, 05:19 PM
|  | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2005 Location: Grove City Ohio
Posts: 2,156
| | | CGMS- It is on its way
Well got the call from MiniMed today. Insurance approved the CGMS and it was shipped today. So now along with my new 722 I am a happy camper. 
__________________ Jim  Diagnosed April 1990 Pumping with the OmniPod now
Last A1C 7.1 ( February 2008 ) Diabetes & Endocrinology Center Of Ohio Website Proud Fan Of NASCAR Nextel Cup Driver Jimmie Johnson, Lowes #48 the 2006 AND 2007 Nextel Cup Champion. The opinions expressed are mine alone and do not necessarily represent
those of my wife who runs our house and makes more important decisions
than I do |
10-02-2007, 09:03 PM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2004
Posts: 5,816
| | | Congrats! A lot of people seem to have luck with getting it covered lately. |
10-02-2007, 09:07 PM
|  | Super Moderator
I am a: Type 1 | | Join Date: Aug 2003 Location: Northern California
Posts: 7,421
| | | Congrats Jim. I hope it works out well for you!!! |
10-03-2007, 07:28 AM
| | Senior Member
I am a: Type 1 | | Join Date: Jan 2006 Location: Rhode Island
Posts: 4,838
| | | Great news, Jim. Good luck and keep us posted.
If I'm correct, you have United Health, as I do. I am still waiting to hear back. I've received two letters (copies sent to my endo) within the last 4-6 weeks requesting more information from him before they make a final decision. This last letter is requesting codes & approximate cost.
Karen |
10-03-2007, 07:44 AM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2004
Posts: 5,816
| | | How is your's being shipped today when everyone else has a 3 week wait? |
10-03-2007, 05:21 PM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2005 Location: Grove City Ohio
Posts: 2,156
| | Quote:
Originally Posted by kgm0612  Great news, Jim. Good luck and keep us posted.
If I'm correct, you have United Health, as I do.
Karen | Yes Karen I do have UHC. However the city I work for is self insured. Thus UHC bids for us to use their name and doctors and plans. They pay the bills and the city sends them a check for what they paid. If the city wants something paid, then they just tell UHC to pay it and they do. So if I need something covered that is not covered, then I call the person in charge of the city, and if they agree it gets paid.
That is how I got my 2nd pump in 2 years. However I did not have to go through that with the CGMS.
__________________ Jim Diagnosed April 1990 Pumping with the OmniPod now
Last A1C 7.1 ( February 2008 ) Diabetes & Endocrinology Center Of Ohio Website Proud Fan Of NASCAR Nextel Cup Driver Jimmie Johnson, Lowes #48 the 2006 AND 2007 Nextel Cup Champion. The opinions expressed are mine alone and do not necessarily represent
those of my wife who runs our house and makes more important decisions
than I do |
10-03-2007, 05:23 PM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2005 Location: Grove City Ohio
Posts: 2,156
| | Quote:
Originally Posted by Funnygrl How is your's being shipped today when everyone else has a 3 week wait? |
They started the CGMS paperwork and everything about 2 1/2 weeks ago when they sent my pump. They told me they would not ship until they got word from UHC that it would be covered. So I don't know if they got word 2 1/2 weeks ago and it is now that they have them to ship, or they got word yesterday and shipped yesterday. Anyway they got to my door at 10am today
__________________ Jim Diagnosed April 1990 Pumping with the OmniPod now
Last A1C 7.1 ( February 2008 ) Diabetes & Endocrinology Center Of Ohio Website Proud Fan Of NASCAR Nextel Cup Driver Jimmie Johnson, Lowes #48 the 2006 AND 2007 Nextel Cup Champion. The opinions expressed are mine alone and do not necessarily represent
those of my wife who runs our house and makes more important decisions
than I do |
10-03-2007, 10:21 PM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2004
Posts: 5,816
| | Quote:
Originally Posted by jeggeman31 They started the CGMS paperwork and everything about 2 1/2 weeks ago when they sent my pump. They told me they would not ship until they got word from UHC that it would be covered. So I don't know if they got word 2 1/2 weeks ago and it is now that they have them to ship, or they got word yesterday and shipped yesterday. Anyway they got to my door at 10am today | Cool! When's training? Mine is Friday  |
10-04-2007, 09:22 AM
| | Senior Member
I am a: Type 1 | | Join Date: Jan 2006 Location: Rhode Island
Posts: 4,838
| | Quote: |
Yes Karen I do have UHC. However the city I work for is self insured. Thus UHC bids for us to use their name and doctors and plans. They pay the bills and the city sends them a check for what they paid. If the city wants something paid, then they just tell UHC to pay it and they do. So if I need something covered that is not covered, then I call the person in charge of the city, and if they agree it gets paid.
| Funny you mention this, Jim. I am covered under my husband's insurance and he works for the State of RI. I found out about two months ago through the diabetes specialist at United Health that the State is self insured also. "Betsy" told me not to be surprised if United denies the claim and that I could appeal after that. She said if I lose the appeal, then to contact the State of RI and they could possibly approve it. I asked her why we couldn't do that up front and she told me we had to "follow procedure".
Karen |
10-04-2007, 09:43 AM
| | Member
I am a: Type 2 | | Join Date: May 2007 Location: New Jersey
Posts: 166
| | | Does any one have any experience with Aetna (POS)? This morning I filled out the paperwork for a 722 (or 522) with CGMS. The Medtronics rep said that she would have a tough time to get it approved by Aetna. Pump OK, but not CGM.
Just curious if anybody is with Aetna.
JayP |
10-04-2007, 01:30 PM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2005 Location: Grove City Ohio
Posts: 2,156
| | Quote:
Originally Posted by Funnygrl Cool! When's training? Mine is Friday | I am not sure. They set up my pump training for the 22nd. However I already trained myself, but my CDE requires I attend pump training before they will train me on my CGMS. So I go on the 22nd to get trained on the pump I have been using for 3 weeks then will schedule my CGMS training.
__________________ Jim Diagnosed April 1990 Pumping with the OmniPod now
Last A1C 7.1 ( February 2008 ) Diabetes & Endocrinology Center Of Ohio Website Proud Fan Of NASCAR Nextel Cup Driver Jimmie Johnson, Lowes #48 the 2006 AND 2007 Nextel Cup Champion. The opinions expressed are mine alone and do not necessarily represent
those of my wife who runs our house and makes more important decisions
than I do |
10-04-2007, 02:13 PM
| | Member
I am a: Type 1 | | Join Date: Jan 2007 Location: Phoenicia, NY
Posts: 174
| | | Hurray!! I just got one as well. I've been hooked up now for a week. It is great. I have had some issues with attaching the transmitter however. I hope to get it all settled out soon.
__________________
Linda 
Type 1
diagnosed September, 1970
pumper - mm 522
|
10-04-2007, 04:50 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Aug 2007 Location: Royal Oak, Michigan
Posts: 927
| | Quote:
Originally Posted by jeggeman31 I am not sure. They set up my pump training for the 22nd. However I already trained myself, but my CDE requires I attend pump training before they will train me on my CGMS. So I go on the 22nd to get trained on the pump I have been using for 3 weeks then will schedule my CGMS training. | That's frustrating. When I switched pumps, I had just gotten a new job and moved. My CDE wanted to me to come to training, I told her I couldn't and told her what I set everything at. She was like, Oh, ok. Sounds like you are all set then and signed off saying I did training with her. She is like my second mom though which was always nice.
__________________ 
Type 1 Est.1984
MM 722 and CGMS; Humalog & Symlin
a1c Trying to get below 6... 
6.8 (9.10.08) 
Vitrectomies May 2007 & July 2007
|
|
| Thread Tools | | | | Display Modes |  Linear Mode | 
Posting Rules
| You may not post new threads You may not post replies You may not post attachments You may not edit your posts
HTML code is Off | | |
|  | | » Site Navigation | | Diabetesforums.com | | | Resource Directory | | | Contact Zone | | | |
