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04-17-2006, 04:07 PM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2004
Posts: 5,772
| | | Insurance and Pump
I talked to insurance today. They confirmed my copay for a pump is $10.  Unfortunately, I wanted a Cozmo. But that one isn't covered. Only Animas or Minimed. Animas seems cool too though. So I will probably end up with that one. I faxed the info over to Deltec for them to try and get approval though. So we shall see. All I need is a script now.  |
04-17-2006, 04:13 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Feb 2006 Location: Northern Utah
Posts: 842
| | How Exciting!!!! You must have AWESOME insurance if your copay is only $10!! I'm really happy to hear that for you! Most the time, people's copays tend to be anywhere from $500-$1200.
Please keep us posted on whether or not you are able to get the Cozmo! It is a fun pump. I got to play with one a couple of weeks ago, and they are pretty cool little things  I haven't gotten to play with Animas yet, but I hear that they are pretty neat as well. I have a minimed, and I love it Either way, you are going to love how much your life and your control changes for the good after you have that fun little pump
__________________  Laura Anne  "Happy Day! All is well! Pumping with Paradigm 712 since November 17th, 2004 Type 1 since April, 1995 |
04-17-2006, 04:50 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Sep 2005 Location: Cincinnati, OH
Posts: 8,356
| | | I would ask your insurance to send you a letter that it's only $10. That to me is very very hard to believe. I think even on the best insurance plans, people still pay out of pocket 10% minimum, which is around $500 for a new pump. I also know that sometimes insurance companies have no idea what you are talking about when you tell them it's a pump, so they look under some other category. I'm just making sure you don't get a bill in 5 months for $1000 and Animas/Minimed refuse to send you pump supplies till the bill is paid.
__________________
●Blue Ash, Ohio Police Dispatcher
●Type 1 diabetic for 25 years (11 months old)
●Animas pumper since December of 2002
~IR 1000 (Dec. 2002-Jan. 2005)
~IR 1200 (Jan. 2005 - ?)
●LifeScan OneTouch UltraSmart Diabetes is an Art, NOT a Science. You must master the control by skills and not by knowledge alone. |
04-17-2006, 05:06 PM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2004
Posts: 5,772
| | | I have it in writing now. It's in our written insurance policy. I think she knew what I meant because she was very specific about it being Animas and Minimed. |
04-17-2006, 06:07 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Aug 2004 Location: Sacramento, CA
Posts: 1,213
| | Quote: |
Originally Posted by JediSkipdogg I would ask your insurance to send you a letter that it's only $10. That to me is very very hard to believe. I think even on the best insurance plans, people still pay out of pocket 10% minimum, which is around $500 for a new pump. I also know that sometimes insurance companies have no idea what you are talking about when you tell them it's a pump, so they look under some other category. I'm just making sure you don't get a bill in 5 months for $1000 and Animas/Minimed refuse to send you pump supplies till the bill is paid. | I am one of those weird ones. Pump and monthly DME supplies covered 100%. And yes, I do realize and appreciate how **** lucky I am!
__________________
My wife keeps telling me I never listen to her.... or something like that! |
04-17-2006, 06:41 PM
|  | Member
I am a: Type 1 | | Join Date: May 2005 Location: pa, usa
Posts: 457
| | Quote: |
Originally Posted by koblenz I am one of those weird ones. Pump and monthly DME supplies covered 100%. And yes, I do realize and appreciate how **** lucky I am! |
I guess I am lucky too, I also have 100% coverage on dme, the pump, all supplies, and testing supplies also...
guess aetna did one thing right.....
__________________
Paul. t1 , pumping from 5/22/05. minimed 715
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04-17-2006, 06:57 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Sep 2004 Location: Miami, Fl
Posts: 3,120
| | | I am very happy you are gettign your pump. I always get proof of whtever they say, no matter what.
__________________ T1- 25 yrs MM-715 (6/05)
A1C :
6/08- 5.8
3/08- 6.2
11/07 7.3 |
04-17-2006, 06:59 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Aug 2003 Location: CT
Posts: 4,588
| | Good luck! I think you will be pleased with the move to the pump 
__________________ I’ve faced myself
To cross out what I’ve become
Erase myself
And let go of what I’ve done
Put to rest
What you thought of me
Well I cleaned this slate
With the hands
Of uncertainty
So let mercy come
And wash away
What I’ve done
I’ve faced myself
To cross out what I’ve become
Erase myself
And let go of what I’ve done
Linkin Park~ "What I've Done"  |
04-17-2006, 08:47 PM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2005 Location: Cincinnati, OH
Posts: 8,356
| | Quote: |
Originally Posted by koblenz I am one of those weird ones. Pump and monthly DME supplies covered 100%. And yes, I do realize and appreciate how **** lucky I am! | I wonder if I have that too then. I haven't tried to order a new pump on my current insurance yet. But my supplies are paid at 100% (even though my policy says 80%, not sure how that happens.)
__________________
●Blue Ash, Ohio Police Dispatcher
●Type 1 diabetic for 25 years (11 months old)
●Animas pumper since December of 2002
~IR 1000 (Dec. 2002-Jan. 2005)
~IR 1200 (Jan. 2005 - ?)
●LifeScan OneTouch UltraSmart Diabetes is an Art, NOT a Science. You must master the control by skills and not by knowledge alone. |
04-17-2006, 11:43 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Feb 2006 Location: Canada, ontario
Posts: 1,747
| | | lol jealous koblenz...will have a full time job soon and i will make sure its with benefits |
04-17-2006, 11:55 PM
| | Senior Member
I am a: Type 1 | | Join Date: Feb 2006 Location: Canada, ontario
Posts: 1,747
| | | i am 0% covered yeay me! |
04-18-2006, 06:08 AM
|  | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2005 Location: Grove City Ohio
Posts: 2,156
| | | I waited til the end of the year to buy my pump. That way I had already paid out my $500 max out of pocket for they year and my pump was covered 100% by the insurance company. I was told that Deltec Cozmo was the ONLY pump my insurance company would cover (when I called them) However Animas got the okay and they paid for an Animas IR1250 and I pay 20% for all my pump stuff and strips for the first $500 then zero out of pocket after that.
__________________ 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 |
04-18-2006, 06:09 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2005 Location: Grove City Ohio
Posts: 2,156
| | Quote: |
Originally Posted by psilocybin i am 0% covered yeay me! |
I don't understand how people do it. If I was not covered there would be no way I could do it. Hats off to you !
__________________ 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 |
04-18-2006, 07:16 AM
| | Senior Member
I am a: Type 1 | | Join Date: Feb 2006 Location: Canada, ontario
Posts: 1,747
| | | thnks.....to tell u the truth i dont even know how i do it lol |
04-18-2006, 09:14 AM
| | Senior Member
I am a: Type 1 | | Join Date: Feb 2006 Location: Northern Utah
Posts: 842
| | Quote: |
Originally Posted by psilocybin thnks.....to tell u the truth i dont even know how i do it lol | I hear you! I didn't have insurance for almost 2 years/year and a half. I look back on it now, and I am still clueless about how on earth I managed to pay for those things myself, plus still work part time and go to school. Money wasn't abundant. I am blessed
__________________ Laura Anne "Happy Day! All is well! Pumping with Paradigm 712 since November 17th, 2004 Type 1 since April, 1995 |
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