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Fight For CGM Coverage!

Posted by dlife on Thu, Aug 21, 2008, 03:39 PM | Digg This! | Send to Newsvine | Add to del.icio.us

A continuous glucose monitoring (CGM) system tests your blood glucose levels every 5 – 7 minutes throughout the day. It can be used by people with type 1 or type 2 diabetes. CGM devices are changing the way some people manage their diabetes - but insurance coverage is sometimes tough to come by. If you want to join the fight for CGM insurance coverage, sign the CGM Anti-Denial Petition and let your voice be heard.

Related: Continuous Glucose Monitoring Systems

Comments

  1. At 09:53 AM on Tue, Sep 16, 2008 Timothy Rothgeb wrote:

    I am wondering if Socuial Security will pay for one of these

  2. At 08:18 PM on Sun, Sep 14, 2008 Randall%20Brown wrote:

    Medicare refused me also. They are so far behind the times.
    Instead of Government wanting to help prevent problems, they would rather pay for Major ones down the road.
    This all stems back to having a Democrat controlled Congress and Senate for 50 years.
    We are still in those times, sad to say..

  3. At 02:01 PM on Fri, Sep 12, 2008 Debbie wrote:

    My 7 year old grandaughter has type 1 and I think this would be great for her especially at school. How can I find out more?

  4. At 12:20 PM on Fri, Sep 12, 2008 Barb wrote:

    I don't understand why insurance companies deny and reject most things that would be necessary and helpful to our daily health issues. In a long run would prevent many of our health issues from getting very serious and then need extensive hospital care, which causes insurance companies a lot of money. Insurance companies are practicing medicine without a license.

  5. At 06:53 PM on Mon, Sep 1, 2008 Jeb P. Brown wrote:

    I learned of CGM Systems at the 2008 TCOYD (Taking Care of Your Diabetes) Conference in Honolulu, Hawaii. TCOYD's Founder Dr. Steven Edelman said I would be a "Prime Candidate" for a CGM System as I have "Severe Hypoglycemic Unawareness" (I can no longer feel Low Blood Sugar Reactions coming on), but I have been "Denied" the opportunity to use this Valuable Technology as the Hawaii Medical Service Association (HMSA) finds this to be Unreliable and Untested Tool that will not be of any help to the Diabetic Population in Hawaii. As they (HMSA) refuse to cover these CGM Systems on either a "Short-term or Long-term" basis as they are putting company profits over the health and safety of the Diabetic Population in Hawaii. So I have no clue if I will ever be able to use a CGM system even though I have the "Motiviation" to learn how to safely and effectively use this vital new tool in the care of my Type 1 Diabetes. I am defintely willing to help make this "Vital Tool" available for all Diabetics.

  6. At 07:42 PM on Sun, Aug 31, 2008 DenisBishton wrote:

    I would like to know if Kaiser Permanente covers this?

  7. At 06:24 PM on Sun, Aug 31, 2008 Brenda Taylor Purcel wrote:

    I want instant diabetes check paid for by insurance

  8. At 10:19 AM on Sun, Aug 31, 2008 VE ROJAS wrote:

    IS THE DEVICE SAME AS THE FINGER PRICK AT EVERY 5 - 7 MIN?

  9. At 08:27 PM on Sat, Aug 30, 2008 Marsha wrote:

    I am testing a CGM device at my endos office on Tuesday Sept.2,08. I am very anxious to do this and to see the results.

  10. At 05:10 PM on Sat, Aug 30, 2008 Janice%2520McMichael wrote:

    I enjoy the CGMS but it's too bad my
    insurance company has denied coverage.
    Seem to be at a stand still right now.

  11. At 03:23 PM on Sat, Aug 30, 2008 Lisa wrote:

    I have tried repeatedly with Atena Insurance to get coverage for the real-time glucose monitoring system and have been rejected 2+ times. They say it's experimental...it's rediculous.

  12. At 02:27 PM on Sat, Aug 30, 2008 sonja mcbride wrote:

    I am in the process of getting my new insulin pump and gluclose monitor & sensors. I'm lucky that my Ins. Co. does cover this unit with good information from my Dr. saying that I have no low sugar symtoms and seisurs. I think if Ins. Co's. realize that with these monitors they will be paying alot less hospital payments, hopefully, they will come around.

  13. At 01:47 PM on Sat, Aug 30, 2008 Denise wrote:

    I would like to know about this myself. Where and how can I find out about this?


    Denise

  14. At 01:43 PM on Sat, Aug 30, 2008 Cathy Close wrote:

    My son is a type I diabetic and I can't imagine what incentive an insurance company would have not to pay for these devices. They can only mean better longterm health for diabetics and fewer complications that insurance companies would have to deal with later.

  15. At 01:03 PM on Sat, Aug 30, 2008 muriel%2520Lane wrote:

    the more i think about the difficult health insurance issues the more i am convinced that the decision making panels are ill qualified to play with peoples lives based on no knowledge & limited capabilities will it take a congressional hearing & a comprehension education ? i work for private practice in so called patient managed care or is it mis-managed care?

  16. At 12:41 PM on Sat, Aug 30, 2008 Jean Chapman wrote:

    I never heard of this item, that would really be a help to people on insulin pumps like I am. How does it work, how can I get it I have lots of questions about this. Thank you for you site

  17. At 10:44 AM on Sat, Aug 30, 2008 Roberta Kinkead wrote:

    Why would an insurance company deny something that could prevent a person with diabetes from knowing when their sugar is elevated. As everyone knows elevated blood sugars control almost every organ inside the body and if controlled it can save these organs from disease. Please do not deny this!!!

  18. At 09:47 AM on Sat, Aug 30, 2008 Diane wrote:

    I am so sick of the insurance companies telling us whats good for us ...... let our doctors do their job!!

  19. At 03:02 AM on Sat, Aug 30, 2008 Carol Myers wrote:

    Never heard of this device till now but will sign anything that helps in the fight against diabetes!

  20. At 12:33 AM on Sat, Aug 30, 2008 Laurie Anderson wrote:

    CGM is very necessary for me!

  21. At 11:46 PM on Fri, Aug 29, 2008 andre marcouiller wrote:

    please do not stop this sound like a real good thing

  22. At 11:00 PM on Fri, Aug 29, 2008 Linda T wrote:

    Hi I have a dexcom and it has helped me because I would go into a low and not know. It is a GODSENT for me. Befor this iI went into a low at work, in the car, and while walking.
    Now thanks to the dexcom I have not went into a low.

  23. At 10:18 PM on Fri, Aug 29, 2008 karen wrote:

    how much are these machines that check your sugar 288 times a day? thank you karen wilson

  24. At 06:42 PM on Fri, Aug 29, 2008 lew wrote:

    these greedy motherfxxxxx's need to be forced to do the right thing???...unfortuneately yes!!!, these health insurers are sooo quick to take our money but it's a real challenge trying to get these scumbags to pay off...they're all just as bad as auto insurance

  25. At 06:19 PM on Fri, Aug 29, 2008 Penny wrote:

    I'm wearing a CGM and have for over 2 years. TriWest (Military Insurance) covered my original purchase after 3 denials, which my Endo and I responded to each with letters. My Endo told me in June 2008, after no coverage for sensors since Sept 2007, TriWest will cover 4 boxes of sensors each year - big deal since you need a box of 4 sensors every month. Waiting to see if they really will cover the sensors.
    My CGM has been a life-saver since I have hypoglycemic unawareness after 33 years of Type 1. Also my Endo and PCP love the download graphs and data I bring to my appointments.

  26. At 06:06 PM on Fri, Aug 29, 2008 Judith Martindale wrote:

    Good luck Anthem of California. That is also my secondary insurance. My primary insurance is Medicare, or Medidoesn't care. Anyway Medicare of course denied coverage for the CGMS, so next try was with Anthem of California. Their response was that they follow Medicare's guidelines, so they won't cover it either! What a crock of bullcrap huh? Anyway good luck to you!

  27. At 05:36 PM on Fri, Aug 29, 2008 Kathleen Patchell wrote:

    I would like to see a petition like this available in Canada.

  28. At 04:58 PM on Fri, Aug 29, 2008 Micaiah2004 wrote:

    CGM technology - What's the pain involved in using this continuous testing modality? What's the cost involved? Where's the competition and economy of scale to reduce the cost of this device to the diabetic community?

  29. At 04:53 PM on Fri, Aug 29, 2008 MARY wrote:

    DIABETES,WHICH I'VE HAD FOR THE PAST 55 YRS. SHOULD HAVE ALL THE INSURANCE BENEFITS AS POSSIBLE, WITH NONE LEFT OUT.
    I'M VERY LAZY AND MAKE IT HARDER ON MYSELF IN CONTROLLING THE BLOOD SUGARS. THE CGS WOULD BE VERY BENIFICIAL FOR ME AS WELL AS THE REST OF THE DIABETIC WORLD.

    THANK YOU

  30. At 04:22 PM on Fri, Aug 29, 2008 Tucker Bradley wrote:

    With my work, I do not always have time to keep on a schedule, if I had a device that can warn me when getting low or high, then I could adjust to potential Hypoglycemia and Hyperglycemia. It is very needed.

  31. At 04:12 PM on Fri, Aug 29, 2008 ROB CHOINIERE wrote:

    I'VE BEEN ON MY CGMS NOW FOR ALMOST A YEAR. I USED TO HAVE A LOT OF REACTIONS WHERE EMERGENCY PERSONAL WAS REQUIRED. SINCE I'VE HAD MY DEXCOM SYSTEM I HAVEN'T HAD A SINGLE REACTION. SURE THE SYSTEM AND SENSORS ARE EXPENSIVE, BEEN IT STILL CHEAPER THEN AMBULANCES AND/OR EMERGENCY ROOM VISITS. IT'S THE UP AND COMING THING AND THE INSURANCE COMPANIES NEED TO TAKE NOTICE.

  32. At 04:00 PM on Fri, Aug 29, 2008 Lucy Mills wrote:

    I am a type1 diabetic and have a heck of a time controlling my blood sugar and have a cgms would be very helpful. I have medicare and tricare for life as my insurance

    Thank you,

    Lucy Mills

  33. At 03:51 PM on Fri, Aug 29, 2008 Judith Pease wrote:

    Does anyone know if Medicare or any supplemental insurance covers CGMs?

  34. At 03:45 PM on Fri, Aug 29, 2008 Anita wrote:

    This would be a great thing to do I am Type 2 and it irritates me what Medicare pays for and what it doesnt pay for like I have to pay a co payment for me metformin and they pay fo viagra wish they would wake up and know that viagra is not a life saving medicine.

  35. At 03:30 PM on Fri, Aug 29, 2008 Clara wrote:

    This is a very nice device that everybody could have, but, do we need a Dr. Referal in order to get it. Thanks.

  36. At 03:20 PM on Fri, Aug 29, 2008 Jean wrote:

    No matter what the dollar cost of the cgm it will still be much less in the long term than paying for care for all the diabetic complications that it could prevent. Tight bg control = better quality of life = less cost for everyone.

  37. At 03:16 PM on Fri, Aug 29, 2008 GiGi Brakeville wrote:

    I have had diabetes for 35 years and just got on an insulin pump 2 years ago. My doctor told me I should be grateful!!!!! If any device helps us keep in better control, it means less trips to the hospital and less complications, HENCE, less cost to the insurance companies. Come on guys!! Wake up and see the logic of approving this.

  38. At 03:06 PM on Fri, Aug 29, 2008 David Buitt wrote:

    This needs to be done as quickly as possible.

  39. At 01:18 PM on Fri, Aug 29, 2008 Diane wrote:

    I am a type 1 that has had diabetes for 52 years. I am unaware of hypoglycemia and am very sensitive to insulin although I have just received the third denial from my Wellmark BCBS for the continuous sensor system. I only see it as a not yet and will continue to request the system. Good Luck to all the others who are trying.

  40. At 11:01 AM on Fri, Aug 29, 2008 Jim wrote:

    I'm sorry, I have to disagree with advocating A CGM for "Most" DB's of anykind..
    Why? Testing 6-10x day gets the same job done and more accurately ( CGM's are not as accurate as your meter ) and it's Less Costly on both sides of the fence..

    However.CGM's are good for Newly diagnosed DB's while figuring out their Meal Plans , Insulin Injections, exercising, etc.. and/or For those Who have Had DB for many yrs and have developed UnAwareness to Severe Highs & Lows while Sleeping...( or others with Handicapps )

    For the Vast majority? Sorry, Not Necessary..
    Now When they develope the Aritifical Pancrease? The CGM working in conjunction with it? Is the Best way to go.. But that is still Yrs away..

    1 CGM + It's Maintenance cost for just 3 mos = the cost of 8 test strips a day for a Whole Yr..

    Can we afford it? Vs Giving Test strips to those who can't afford it vs the luxuary of a CGM for a Few that can?

    You decide.. and justify it if you will..

  41. At 10:33 AM on Fri, Aug 29, 2008 Dolores Batz wrote:

    How can I get CGM insurance coverage. I have type 2 diabetes and get many highs and many lows whidh sneaks up on me while I am away from home.

  42. At 12:27 AM on Thu, Aug 28, 2008 dennis wrote:

    I just started the process today by gettig approval from my endo next it the road to attempted approval from Anthem in california

  43. At 10:47 PM on Tue, Aug 26, 2008 Isaac wrote:

    CGM devices check your sugar 288 times throughout the day!!!

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