CGM Anti-Denial Campaign Website

All you need to fight for CGM coverage.

thomas radcliffe
  • Male
  • Safety Harbor, FL
  • United States
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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

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Profile Information

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

Thomas radcliffe's Blog

thomas radcliffe

Help needed

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 level appeal, an administrative reconsideration of the second level appeal, and are now beginning the State Administrative Fair Hearing process before a hearing officer.

And we are likely to lose. We have done all of the right things, given them… Continue

Posted on October 17, 2009 at 9:04pm —

 
 

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Blog Posts

thomas radcliffe

Help needed

Posted by thomas radcliffe on October 17, 2009 at 9:04pm

Kelly Houck

Tricare Prime denied CGM because child under 7...

Posted by Kelly Houck on August 11, 2009 at 7:21am

Marion J. Edge

TRICARE and Navigator sensors

Posted by Marion J. Edge on May 21, 2009 at 8:00pm

RON BARD

ANTHEM BCBS WI

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

Latest Activity

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
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
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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