ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT
Post a New Thread

CGMS and insurance

Updated 10 weeks ago
Jody
Joined Sep 16, 2009
I have been a type1 diabetic for 38 years. I have a minimed paradigm insulin pump. I feel like I got my life back once I started using the insulin pump. However I no longer have any warning signs of low blood sugar, so I test my BS every 2 hours. I have medicare insurance and I am trying to get them to cover a CGMS. They state that it is not covered. Does anyone have any suggestions that will help me to persuade them to cover a CMS. For me A CGMS will make a difference between life and death. Any info or suggestions will be greatly appreciated. Thanks in advance. Make it a great day. Jody
Posted on September 16, 2009 10:59
quote Reply with Quote
peruvianpasohi
Joined Jan 10, 2010

I got my Dad approved on his assigned medicare in California in December.  I think the guidelines have changed.  get your denial in writing from them... I will bet that you will have a share of cost approval (in my dad's case, it is 20% on both the sensors and the actual unit. They did require that the order be written by an endo,  The Gerientologist/Internal medicine Dr was not "good enough"   Good luck.  BTW, diabetes.org has a forum with several tyoe 1's that have recently been approved. I also have Medicaid, and the CDE said that if you are already using a CGMS, it is pretty easy to get approved for the monthly sensors...We will see, I go in to the Endo at the end of this month.

Posted on January 10, 2010 13:04
quote Reply with Quote
Jody
Joined Sep 16, 2009

Thanks for replying.  I have posted so many times with no replies.  I will definately check out diabetes.org to see what they have to say.  I have medicaid as my 2ndary insurance.  Minimed supplies my insulin pump and the quick sets & resevoirs.  Medicare will not send a denial letter until I have the cgms.  Medicaid will not even consider covering it until there is a denial letter.  Minimed said that they will send a cgms out to me but if medicare will not cover it I will be responsible for paying for it before it is even sent to medicaid.  My monthly income is only $800.  Minimed will not take payments & if I don't pay for it within a week, they will stop sending the supplies for my pump.

Make it a great day.

Jody

Posted on January 13, 2010 19:50
quote Reply with Quote
Recommend this Thread:

Reply...

Add your reply to this thread below. You can reply as a registered user or anonymously.

When using our forum, please respect the Diabetes Health community by refraining from comments that could be considered offensive to other people. Diabetes Health reserves the right to remove posts when necessary to maintain the cordial voice of the diabetes community.

For your privacy and protection, we ask that you do not include personal details such as address or telephone number in any posts.

Don't have your Diabetes Health Username? Register now to reply to this and all threads.

Reply

Username: Password:
Reply:
ADVERTISEMENT