Insurance Coverage for CGM

[Jeff]

If you've received insurance coverage for a continuous sensor, please note it here. Include:

- Insurance Company
- State
- Sensor
- Age of person with diabetes

It's time to start collecting this data and sharing among our families.

(We're still waiting to hear from our insurance company.)

[bkfkmc]

United Healthcare River Valley
State of Tennessee HMO plan
Minimed CGMS
Age 7

Note: Before this year we were on the Cigna State of TN POS plan. I fought for 14 months for coverage with repeated denials. It seemed to be a dead end.

[azkat]

United Health Care PPO
Arizona
minimed CGM
age 3 when she received it :D

[HannahB]

we recieved coverage for the dexcom when we lived in connecticut from BCBS. when we moved to LA we began using the Minimed CGMS real time system with united and also recieved coverage.

[Connie]

Humana (employer is self insured)
Ohio
Minimed CGM
Nick was 10 when he got it

[Mama2H]

First Administrators (Self insured through the county my dh works for)
Iowa
Minimed Real time cgms
Hailey was 10 when we recieved the sensor

We were initionally denied, after speaking directly with our agent and sending in proof that it is no longer "experimental" we were approved. The agent did go to the board of supervisors in charge of dh's department for approval.

[OSUMom]

We've been told it's approved - the sensor is not received and paperwork is not all done because we're waiting until June when Dean is home and the sensors are fresh. I will update if there are glitches. We've shared with other families we know who have diabetes and work for the same company.

BCBS of Delaware EPO (local Anthem)
Delaware (home office of employer) though we live in Ohio
Minimed CGM
20 years old

[Paige's Dad]

BCBS of Kansas City
Live in Kansas, insurance is in Missouri
Medtronics Real Time System
Paige is 10

[pdxmom]

United Healthcare PPO
Oregon
Minimed CGM
9yo

[jules12]

BCBS of Kansas City
Missouri
Minimed CGM
Josh is 8

[dragonblimps_mom]

Care First BC/BS
Maryland
Freestyle Navigator
Amelia is 10 years old

We haven't received it yet. Abbott is still arranging it's durable medical equipment distributors. I hope they hurry. We have an appointment with the CDE on June 18th for training and startup.

We got 100% coverage because I have PPO. It appears they consider POS as "out of network" and only cover 80%. They didn't say if it's covered under HMO or not.

[Chaser]

Optima Family
Virginia
Minimed CGMS
2 years old

[chocoholicsc]

Blue Choice of South Carolina
South Carolina
Minimed CGMS
Christopher is 2 years old

[Brensdad]

United Health Care Open Choice PPO
Texas, but I think the plan is hosted at our corprate office in Pennsylvania
Emma was 2 when it was approved.
Minimed CGMS

[khoward1017]

We just got the Dexcom Seven System. We have United Healthcare. We are from Ohio. It covers everything 100%...but we had to go through a third party supplier, Edgepark Medical Supply Company becuase United Healthcare has a contract with them. If we ordered straight from Dexcom then insurance would only cover 80%. It took us about 6 weeks to get the product. It required pre=approval on all durable medical devices over $1000.00. My dr. just had to complete the documents to prove this was necessary. My son just turned 6. If you need any more information, just let me know!

Karen

[4MyBoys]

Excellus BSBS (New York State Child Health Plus)
New York
Minimed CGMS
9 years old

We had been paying for it out of pocket for several months, because I was not up for the insurance fight. It was so easy, it was approved in three days, no fight, no phone calls, etc. I worked with Melanie McMorrow at MiniMed.. She knew "the code!" -Allison

[bgallini]

Anthem BC/BS of VA (COVA Care PPO)

We don't actually have it yet but we've been told that they will approve it if we have 30 days of meter readings with at least 4 tests per day AND at least one reading under 50 w/in those 30 days.

[Stacey Nagel]

If you've received insurance coverage for a continuous sensor, please note it here. Include:

- Insurance Company
- State
- Sensor
- Age of person with diabetes

.)

Group Health In of NY (GHI)
New York
Freestyle Navigator
16 :cool:

[TEXSONMOM]

Summerlin Life and Health Insurance
MM Pump 03/07
CGMS - 10/07 - approved immediately with Doctor letter
Las Vegas, Nevada

[WestinsMom]

I just received reimbursement from BCBS of Michigan (MICHILD). "After further review of the claim and supporting medical documentation, we have determined this service is payable."

:)

[Marcy]

Aetna PPO
Texas
MM CGM
For Myself:D

After showing a log of Bg numbers for 3 months--Testing AT LEAST 4 times a day, as well as mnay readings under 50 during the night

[jane1218]

Aetna HMO
NY
Minimed
14 YO

Denied at first, then reversed after the first appeal.
We had to prove repetitive hypoglycemia even with multiple glucose checks on a daily basis.

[taximom2]

First won on appeal:

Great West Healthcare PPO
CO
MiniMed MiniLink
Age 11 when approved

Changed companies and won again:

BCBS
TX
MiniMed MiniLink