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Diabetes Q&A | Blood Glucose Monitoring | CGM hypoglycemia insurance pay
Diabetes Questions & Answers
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The Question

04/10/09 01:47 PM

"I am about to go to Italy for 2 months and will teach K next year. I have severe hypoglycemia and NEED a CGM. How can I get insurance to pay for it?"
Asked By: lohara88  
Category: Blood Glucose Monitoring

Background Info Hide
I have BCBS and have had diabetes for 16 years. I currently use an Animas pump and test my blood 6-10 times a day. I need the CGM because I am going to be in charge of the lives of children and cannot risk going low unexpectedly. Have been working with Medtronic but my current pump cannot be replaced until June 2010. Am looking to find a cheap CGM (preferably the dexcom 7 or the gaurdian) that I may just buy but do not know where to look. Please help!

Expert Answers (1)

04/22/09 10:10 AM

Insurance coverage for CGM's is generally a bit complex, but if you are willing to be vigilant about standing up to your insurance company, you can prevail. The first step is to talk with your insurance company and see what type of documentation they need to pay for a CGM. They may also have a preferred company that they woould like you to obtain the CGM from. The more documentation you have from your doctor about the dangers you face without a CGM and how your control has been within the past year or so, the better. Insurance companies manage risk, so that if they see that not approving the device is a high risk to your health, and thus a potential liability to them,they will be more likely to approve this. Your local diabetes chaper may be able to help you with the type of support documentation you need. Good luck.
Answered By: susan sloane
Accreditations: B.S.,Rph.,C.D.E.,Nutritionist
Sources Show

Community Answers (1)

08/19/09 06:57 PM

Insurance companies like to use ridiculous but practical criteria. Write once - denied. Write twice - denied. Write three times - approved. Stick with it, stay polite but direct. You'll get there.
Answered By: jayjoe
FLAG
SourcesShow



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