CGM Anti-Denial Campaign Website

All you need to fight for CGM coverage.

Tonya
  • Female
  • San Diego, Ca
  • United States
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Getting CGMS Coverage
5 Replies

Started this discussion. Last reply by Sarah Elizabeth Sep. 6, 2008.

 

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Which insurance company denied you?
Aetna
What kind of CGM do you have/want?
Minimed Real-Time or Guardian
How did you hear about the CGM Anti-Denial Petition?
Petition

My Fight...

I have been fighting with Aetna for the last six months over CGMS. Even though I meet the criteria that Aetna lays out in their policy (that would be CPB 0070 part VIII), I have been denied continuously.

So alas, I am fighting with them, currently though my HR department, since UHC was paying for it, and when my company switched from UHC to Aetna there was to be no changes in coverage. I have my complaint ready for the California Insurance Board if Aetna keeps up the denials.

I guess I don't take "no" for an answer.
UPDATE!! Well, my companies lawyers called Aetna's lawyers, and Aetna decided to avoid being sued by covering my sensors. Yea!!

Comment Wall (5 comments)

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At 5:26pm on August 23, 2008, Jane said…
Any update on your fight with Aetna, I have Aetna too. I sent in my first appeal and was told a decision will be made my 8/30/08.-jane
At 4:06pm on August 15, 2008, Gina Capone said…
Hey Tonya, Yea i saw that on there before maybe you can post it in your state as well.
At 3:36pm on August 15, 2008, Gina Capone said…
Yea but i only have hypo twice a day not 4.
At 3:28pm on August 15, 2008, Gina Capone said…
Nope. Still waiting to hear back.
At 11:22am on August 15, 2008, Gina Capone said…
Tonya, hi

Thanks for the information in California. Can you please list the contact information.

Thanks,

G
 
 

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Blog Posts

thomas radcliffe

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Kelly Houck

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RON BARD

ANTHEM BCBS WI

Posted by RON BARD on December 17, 2008 at 5:12pm

Latest Activity

Kevin Diehl commented on Gina Capone's blog post 'Keep your fingers crossed!'
Any Update in the last 20 Days?
October 31
thomas radcliffe added a blog post
Hi, I am the Permanent Legal Guardian of a 9 year old type 1. She has had a prescription for a CGM for months now and her insurance, which is a Medicaid based HMO has denied coverage. We have been through a grievance, first level appeal, second l...
October 17
Christie Jensen commented on Christie Jensen's blog post 'Please email me about CGMS denials'
I am so sorry to hear about these awful things each of you has told me about. Deborah, I have had many of the same kinds of incidents as you. Even since I got the CGM, I have had some nasty lows, although not nearly as bad as I used to have before...
September 27
Deborah Myers commented on Christie Jensen's blog post 'Please email me about CGMS denials'
I have come to accept that my hypo seizures are going to kill me. I have hypo unawareness and I am afraid to sleep. I purposely eat more carbs prior to going to bed because I am afraid that I will not wake up. Last week I woke up at 5am with a 30B...
September 26
 

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