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  #1 (permalink)  
Old 03-28-2008, 03:01 PM
w5wjp's Avatar
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Join Date: Nov 2006
Location: Texas
Posts: 667
Navigator

I just checked with my insurance company, TriCare, and it looks like they WILL cover a Navigator! At least, they have a "continuous invasive glucose monitor" on their approved list. My initial cost will be about $208 and $234 for 3 months worth of sensors. Now I just need to come up with a "medical necessity"......might need to get a bit creative here but I think I can do it.
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Old 03-28-2008, 06:05 PM
morrisma's Avatar
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I am a: Type 1
 
Join Date: Dec 2007
Location: Landenberg, PA
Posts: 1,332
Bill,
My latest A1c just jumped up a bit like yours. That's one bit of ammo. If you go low overnight, that counts too. Lots of hypos and any ER visits count for getting this. Shame that this great tool requires really bad stuff to happen. Glad you are getting the chance to use it.
Mike
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Old 03-28-2008, 06:13 PM
xMenace's Avatar
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I am a: Type 1
 
Join Date: Jun 2006
Location: Rothesay, New Brunswick Canada, eh
Posts: 7,047
Quote:
Originally Posted by w5wjp View Post
I just checked with my insurance company, TriCare, and it looks like they WILL cover a Navigator! At least, they have a "continuous invasive glucose monitor" on their approved list. My initial cost will be about $208 and $234 for 3 months worth of sensors. Now I just need to come up with a "medical necessity"......might need to get a bit creative here but I think I can do it.

Gawd, if an IDD can't 'create' a medical necessity, who can?

Stage a 2.5 hypo, collapse on the floor, wife calls 911, you lie there as long as you can - make sure a liver dump gets triggered that the hospital will have a tough time treating. then claim uncontrolled hypoglycemia! Nobody would ever be able to prove it was intentional. Add that to your 3,000 units a day and I don't see any problem
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In Defense of Food with Michael Pollan


T1 1975, MM 722 pump

10/08
A1C 7/08 6.1%
HDL - 1.74 (67)
LDL - 1.89 (73)
Triglicerides - 0.52 (47.0)


7/08
A1C 7/08 5.9%
HDL - 1.55 (59.9)
LDL - 1.76 (68.1)
Triglicerides - 0.44 (40.0)

John
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Old 03-29-2008, 10:08 PM
w5wjp's Avatar
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Quote:
Originally Posted by xMenace View Post
Gawd, if an IDD can't 'create' a medical necessity, who can?

Stage a 2.5 hypo, collapse on the floor, wife calls 911, you lie there as long as you can - make sure a liver dump gets triggered that the hospital will have a tough time treating. then claim uncontrolled hypoglycemia! Nobody would ever be able to prove it was intentional. Add that to your 3,000 units a day and I don't see any problem
No wife to call 911....and cat like to chat with her friends too much to trust her....

Don't really trust the local hospital that much either...last time I went there I had a severe sinus infection and ended up being dx with a heart attack.....they might have gotten right if a doctor ever looked at me.
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Old 03-29-2008, 10:26 PM
palefacegirl03's Avatar
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I am a: Type 1
 
Join Date: Apr 2004
Location: Texas
Posts: 781
Quote:
Originally Posted by w5wjp View Post
No wife to call 911....and cat like to chat with her friends too much to trust her....

Don't really trust the local hospital that much either...last time I went there I had a severe sinus infection and ended up being dx with a heart attack.....they might have gotten right if a doctor ever looked at me.

We can stage it at our next DFW lunch. You want to go to HCA or Memorial? Jan and I can pretend we no nothing about diabetes and just wait for the paramedics
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Old 04-05-2008, 01:59 PM
frige's Avatar
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I am a: Type 1
 
Join Date: Jan 2007
Location: Reston, VA
Posts: 55
Doctors hate insurance companies.
I'd be surprised if your doctor didnt check enough boxes to indicate necessity.
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Old 04-30-2008, 08:54 AM
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I am a: Type 1
 
Join Date: Apr 2008
Location: Paris, France
Posts: 2
Hi everybody,

I'm a new user of the forum, I come from France, and I will test the Navigator in July (because it isn't yet on the market at the moment here) and I would have opinions about this. Is somebody using it ?

thanks for your answers!
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Old 05-07-2008, 12:25 AM
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Join Date: May 2008
Posts: 14
Hi everybody--I am hot to trot w/ the Freestyle Navigator, tho it means paying for a new pump. After the failure of the Glucowatch, I hope this'll be great. I have Blue Cross/Blue Shield HealthSelect and they've always been good about paying. Dottie Love
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