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May 27th, 2012
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I have to say that I was a little stunned last week when I found out that my insurance company had changed its policy regarding continuous glucose monitors. While I don't know exactly what that means yet, it's likely that the change will be in my favor (i.e., no more of this "disposable coverage" BS). At least, I hope.
 

One of the benefits my company offers is the use of a health company that advocates on our behalf for things like figuring out what you may owe after a hospital stay or what gets applied to your deductible. Basically, these people are in the health-care trenches and can help you sort out any issues or problems you're having.
 

So I called them about this no disposable coverage nonsense. After I explained to the nurse what was going on even she was flabberghasted. I gave her my doctor's name and contact information and my Dexcom rep's name and contact information. So, for two weeks I've been periodically checking in with L to see what, if anything, she had been able to find out for me about getting the insurance company to cover the Dexcom sensors.
 

I always manage to email her on days when she's off.
 

Anyway. So last week instead of saying "Hi, L. I'm just checking in to see if you've found anything out about my claim…" I sent an email that said "Hi L. Can you give me an update/status report on what's going on with my claim to get my insurance company to cover the Dexcom sensors?" Just a slight wording change might let her know that I was getting anxious.
 

Her fairly quick response:
S called me on January 6th to advise that there was a change in XXX insurance company's medical policy relating to continuous glucose monitors. He said that his manager was involved in how this would affect the coverage of sensors. He had asked me to wait until the following week for an update from him. He said that if the policy allowed the sensors to be eligible for coverage, it would resolve this problem.

 

I left a message for him today advising that I needed an update so I could let you know. As soon as he contacts me, I will email you.
Regards,
L
 

Was it really going to be that easy? I mean, I know at this point I don't know what the status change is but (knock on wood) I can't imagine they would have decided to take certain coverages away. Hot dog was I excited! I realize I'm putting the cart before the horse here, but this just really emphasizes that I made the right choice to take a risk and get the system without knowing if I'd be able to get the sensors covered.

 

Cross your fingers, people!




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Julia
JuliaJulia lives behind the Tofu Curtain, in the Pioneer Valley, in Western Massachusetts. It's a nice place. She likes it there. Her eldest daughter, Olivia, has type 1 diabetes. She's also 13. It's a real toss-up as to which is more difficult -- the diabetes or the teen-age drama. (Read More)
Michelle Kowalski
Michelle KowalskiMichelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, was diagnosed with Type 2 diabetes in February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)
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