Wooohoo! Navigator Coverage!

[hold48398]

..just got a call from Abbott with insurance coverage verification, and after the $250 deductible, we are 90% covered on ALL CGMS supplies!! I am soooo excited :). Thanks for letting me share this exciting news with you all...I know you understand why I feel it is my birthday right now!!:D

[Treysmom]

That is so great! I'm excited for you guys:D

[MReinhardt]

WOW, such good news. Happy CGMSing! :D

[badshoe]

What is the insurance company?

[OSUMom]

Amazing and fantastic!!!!!!!!!

[Judy&Alli]

Wow! Congrats!!!:D That is my next hurdle!!!!
Great job and happy cgms birthday!!!!:D
Judy

[thebestnest5]

Yay!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!:D:D:D

[hold48398]

What is the insurance company?

So sorry I left this out in my excitement! We are with United Healthcare PPO, Choice Plus plan, through my husbands work.

[dqmomof3]

I was just told at a diabetes education day that United Healthcare and sometimes Cigna will cover the CGMS here in NC.

[WestinsMom]

I want United! :) Good for you. Congrats!!!!!!

[Ellen]

When will you receive it? I'll finally meet you and see it for myself :-). BTW, we have the same health plan...now if your daughter can convince my son to use it - I'm buying the coffee at STarbucks!:D

[zeb'smom]

Wow that is great to hear...gives hope to all of us looking for the same.

Robyn

[BrendaK]

WOW -- PLEASE PLEASE keep us up to date with all of the juicy details!!! Photos and everything!!!! Congrats!

[twodoor2]

Yes, UHC is one of the few insurance companies that covers CGMS. That's great, congratulations!!!:D

[hold48398]

Thank you SO MUCH, everyone!!! It means a lot to me! And Ellen, Mia can convince anyone of anything :D. Coffee is on me either way!!

I will keep you all posted on all further developments!

[Tamara Gamble]

How did you get them to cover the unit and supplies? Did they question the age limitations on the navigator? Give me some information.

Tami

[hold48398]

How did you get them to cover the unit and supplies? Did they question the age limitations on the navigator? Give me some information.

Tami

I really didn't do anything:o! My endo submitted all the necessary paperwork (which I printed off the Abbott webpage and faxed to them), along with a medical necessity letter from my endo. Abbott called me last night stating that everything is covered at 90% after the $250 deductible, including the unit, sensor and ongoing DME supplies (if ordered in-network). I did ask if UHC questioned Mia's age ( 6 1/2) and they said no. I was as surprised as everyone else is!!! Here is a summary:

$250 deductible
$1000 out of pocket max per year
No benefit cap
No lifetime max
90% coverage if in-network (less if out-of-network) on all parts of the Navigator
Letter of medical necessity and medical notes are required


Abbott said that I will get this summary in writing as confirmation in the mail. A trainer/Abbott rep will contact me "soon" to set up a training.
They also said that a smaller sensor is in the works (I asked).

It just sounds too good to be true... :confused:

[Jensmami]

Wow, congratulations Marisa, this is GREAT news:):):)