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Thomas radcliffe's Blog
Help needed
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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treatment with coverage
Posted by Cindy Fallsen on December 9, 2009 at 2:44pm
Help needed
Posted by thomas radcliffe on October 17, 2009 at 9:04pm
Recently got HealthNet to reverse their denials and cover Dexcom CGM for our six year old son
Posted by Ron Anderson on September 22, 2009 at 11:04am
Tricare Prime denied CGM because child under 7...
Posted by Kelly Houck on August 11, 2009 at 7:21am
TRICARE and Navigator sensors
Posted by Marion J. Edge on May 21, 2009 at 8:00pm
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