[rulet]

Hi - I have been denied coverage for a minimed glucose sensor by my insurance co.
I want to appeal but dont know what to ask for or how to word it. Does anyone have any sample letters or procedures that have worked through this beuracracy.?
thanks
-rulet

[GretchO]

Unfortunately many insurance companies still consider CGMSs experimental or investigational. My employer approved the use of the sensors but the insurance company refused to pay for them for about 6 months, then decided to cover them. I'm not sure exactly what went on - my employer and the insurer duked it out.

BUT, I did learn that they are more favorable to approving them if you experience lows, especially when you can't feel them coming on. You'll need backing from your doctor/endo and probably some data showing your lows if you experience them.

They really should be covered - I think they're a very valuable tool, especially for figuring out basal rates and how different foods affect you.

[xMenace]

Welcome.

Sign here: CGM Anti-Denial Campaign Petition : [ powered by iPetitions.com ]

[stlduckhunter]

I believe that the key is the involvement and support of your endo and the documentation that he/she can provide. Just as it was necessary for their involvement with getting the pump, it is even more so with the sensor. I would lean on your doctor and ask for help.

[rulet]

Thanks all, appreciate the help.