Sample Request for CGM Insurance Coverage

Use these letters to help you and your physician appeal to your insurance company for coverage of Continuous Glucose Monitoring

These professionally drafted requests for insurance coverage might be your ticket to getting your CGM approved.

| Feb 27, 2009

We recently published an article about how you can avoid losing money in insurance claims. The article gave helpful hints on how to deal with your insurance company including an sample appeals letter. We promised to publish in the near future a sample CGM appeals letter. Here they are!

Diabetes Health greatly appreciates the assistance of Maimonides Infants & Children's Hospital of Brooklyn and DexCom in sharing the letters they have successfully used. 

The CMN/LMN* for the sensor usually needs to come from the clinician's office.  However, patients are more than welcome to adapt them to meet their needs, especially when a glucose sensor has been denied and is in the appeals process.

*A Certificate of Medical Necessity(CMN) / Letter of Medical Necessity(LMN) is a bit longer than a script but basically orders the equipment for the patient. It has some clinical data in it such as BG range, HbA1c's, therapy, presence of complications, why the sensor is needed, and is signed by the prescribing practitioner.

Real-Time Continuous Glucose Monitoring System letter

Medtronic MiniMed Guardian Real-Time Continuous Glucose Monitoring System letter

Click Here To View Or Post Comments

Related Article

Out of the Pot and Into the Fire: Pressuring Insurance Companies to Cover Continuous Glucose Monitors

Sep 4, 2008


Categories: A1c Test, Beginners, Diabetes, Diabetes, Health Insurance, Professional Issues


Take the Diabetes Health Pump Survey
See What's Inside
Read this FREE issue now
For healthcare professionals only

You can view the current or previous issues of Diabetes Health online, in their entirety, anytime you want.
Click Here To View

See if you qualify for our free healthcare professional magazines. Click here to start your application for Pre-Diabetes Health, Diabetes Health Pharmacist and Diabetes Health Professional.

Learn More About the Professional Subscription

Free Diabetes Health e-Newsletter

Latest
Popular
Top Rated
Print | Email | Share | Comments (0)

You May Also Be Interested In...


Click Here To View Or Post Comments

Comments 0 comments - Feb 27, 2009

©1991-2014 Diabetes Health | Home | Privacy | Press | Advertising | Help | Contact Us | Donate | Sitemap

Diabetes Health Medical Disclaimer

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained on or available through this website is for general information purposes only. Opinions expressed here are the opinions of writers, contributors, and commentators, and are not necessarily those of Diabetes Health. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website.