Our story

[Agnes R.]

My 11 year old daughter, who suffers hypoglycemia unawareness and has already suffered a seizure that cost BC/BS of TN over $6,000, was originally approved by the aforementioned insurance company for the Freestyle Navigator. She received in in March of 09, and we have been extremely happy with it. When the first sensor refill came up, they decided to retroactively deny coverage. We have been fighting ever since. They have not paid a penny for any of it, even though we have refilled sensors 3 times already. They claim we need to prove that she is "consistently suffering lows below 50 or in poor control despite testing over 4 times a day."
What do they know about good control?
Besides the obvious advantage of preventing dangerous lows, this device returns a measure of normalcy to our lives. We can sleep at night, she can do sports without testing every 30 minutes, we can have relaxed meals, no more rushing around wondering how low she's getting. She can look at her monitor before each exam at school and make sure she's in range, and not wonder later why she did so poorly on an exam. She doesn't test 12 times a day any more. Is all this too much to ask?
We have heard from other BC/BS TN members that we will have to go through these hoops again every time we try to refill the sensors. If they ever approve the original prescription.