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All you need to fight for CGM coverage.

October 2008 Blog Posts (5)

CGMS Saved the Day (again)

I've been paying out-of-pocket for my Minimed CGMS since March (still appealing insurance, and will have to start over because my work is changing insurance companies - UGH!!!). It's saved my ass more times that I can count.



Yesterday was another perfect example of why these things should be covered by insurance:



Sitting on my bed feeling a little hungry, but otherwise perfectly fine. I hear the melodic BEEP, BEEp, Beep, beep that indicates I'm going low. The CGMS tells me… Continue

Added by Shannon on October 30, 2008 at 1:45pm — 3 Comments

CBGM Denial

Thanks to Dr. Keith Osborne of Cigna health care, I was denied a monitor in June of 2008. On October 9, 2008 my blood sugar dropped to 25 while driving home from work. My car went off a cliff 200 feet into the Columbia River. These people need to wake up now. I am on my last life as I have used the rest of them up fighting this disease for the last 40 years.



Mr Garwood,



After a complete review of this request and available information Dr Keith Osborne provided the… Continue

Added by Steve on October 12, 2008 at 8:11pm — 4 Comments

Keep your fingers crossed!

Recently, I got a call from Medtronic Minimed directly to say they were going to be handling my CGM Appeals.



(GINA NOTE: I was denied 3 times and on the third denial I was also laid off from my job so I couldn't pursue further.



I went onto my husbands plan right after I got laid off. The next day I called up my CDE to tell her my insurance would be changing and that it was still the same…
Continue

Added by Gina Capone on October 11, 2008 at 7:46am — 1 Comment

A call from Medtronic Minimed

Yesterday, I was at work doing my daily duties and at about 2pm my cell phone rang.

Me: A little reluctant to answer because it looks like a spam caller I do anyway..Hello?

Caller: Ms. Capone

Me: Yes, that is me.

Caller: This is "M" from Minimed calling in regards to your appeal for a Continuous Glucose Monitor.

Me: A little…

Continue

Added by Gina Capone on October 8, 2008 at 12:30am — 3 Comments

won my appeal for Dexcom CGM

My Dexcom CGM was denied by BC/BS of California this past March. I appealed and it was denied again. I appealed a second time and an independent review was initiated. Three physicians ultimately looked at my claim and medical records. Two of them voted for overturning the the insurance company's denial of the claim, the other voted against me. In any case, I just won the appeal and my CGM is now covered. I have had Type 1 for 8 years and wear an insulin pump.

Added by Eva Clarke on October 5, 2008 at 10:39pm — 4 Comments

Members

Blog Posts

Medicaid Based Coverage in Florida

Posted by thomas radcliffe on March 23, 2010 at 2:51pm — 2 Comments

Security of medical records

Posted by lee w on January 24, 2010 at 8:30pm — 2 Comments

treatment with coverage

Posted by Cindy Fallsen on December 9, 2009 at 2:44pm — 3 Comments

CGM Medicaid Florida

Posted by thomas radcliffe on October 17, 2009 at 9:00pm — 2 Comments

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