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 I'm 70 mg/dl, and the graph indicates that I've been dropping pretty fast for a while. I feel great, so my first thought is that this sensor is dying a quick death, and it's probably time to replace it. The nagging part of my brain tells me to test just to be sure. A quick spurt of blood later, I face the reality that I'm 47 mg/dl. Still not believing it, I grab my other meter. Sure enough, I'm 45 mg/dl. I grabbed a juice box just as I start to feel some of the usual symptoms of a low (shaking, sweating, dizziness, fatigue, etc.)
So, I have two questions:
1. Why is it that I can't feel the symptoms of a low until it's upon me? Would I have ever known without the CGMS, or would I have just passed out?
2. Why can't my insurance company recognize that the cost of that one sensor is a hell of a lot less than the cost of an ambulance ride, hospital stay, and anything else that would have resulted from a severe hypo episode?
Denied by Aetna
Denied by UniCare (still appealing)
About to be Denied by CareFirst