Most days I'm the one who grabs the mail before coming in the house. Most days I'm the one who sorts through and throws the bills in a pile and the junk in the trash. Most days I ignore pretty much anything from an insurance company.
Which is exactly what happened the day before yesterday. I didn't notice the envelope from my insurance company until this morning while I was battling with No. 2 to get dressed/eat breakfast/quit fussing/stop acting like a brat.
The envelope was thick--unlike an explanation of benefits envelope--and I knew it was the explanation of the denial of my CGMS. It was addressed to my endo, with me as a CC. My claim was apparently reviewed by a "medical policy administration medical director, board certified in hematology and internal medicine." Their official stance is that they consider the long-term use of continuous glucose monitoring devices for home self-monitoring of blood glucose to be experimental and investigational. I think "experimental" and "investigational" is a load of hooey, but I don't make the rules.
I don't like to give up and I really don't feel like I've been beaten since I still have an outlet with another appeal. It's just that I feel pretty happy with the way things are going now. The CGMS was a little distracting, time consuming, not always right and frankly a slight hassle.
I've decided not to appeal. Yes, I've had some pretty low lows (two in the 30s) that I didn't have symptoms for, and there are times when I go over 200 and don't have symptoms, but I think what will actually be better for me is to pay more attention to my body's signals and what I'm eating.
I've decided not to appeal mainly because I'm not 100% sure that the device would do me much good on a daily basis. And I'm sort of happy with having only one gizmo attached to me right now.





