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Kaylee's Mommy
03-28-2007, 01:24 PM
I just talked to our insurance company and the lady told me that the CGMS would be covered at 90%!!!! including ALL SUPPLIES!!!!!! I'm HOPING she was NOT wrong in this.. but she was pretty certain.. I said that its not the insulin pump.. and she said, ya the new thing that just came out.. HOLY MOLY!! I CAN NOT BELIEVE THAT... NO FIGHTING AT ALL... and covered at 90%!!!!!!! WOW! she knows Kaylee is only 4.... she's already met her deductable for this year (ER visit on the 1st of jan.. go figure LOL) I'm so flaming happy.. talking to her dr in about an hour... I'm hoping this also edges her into says yes!!!!

Rachel
03-28-2007, 01:28 PM
Fabulous fabulous!!! Congratulations!

rmccully2000
03-28-2007, 01:45 PM
Yippee!! Half the battle is won!! Good luck on your talk :)
Becky, Mom to Mason,7 Dexcom, IPort

EmmasMom
03-28-2007, 06:48 PM
That's wonderful news!!!!! Keep us posted!:D

Kaylee's Mommy
03-29-2007, 12:34 AM
well, we won't be joining now.. but maybe in June.. actually it better be in june ;) she really wants to get more info and data from their ADA meeting in June.. at first she told me no way, not for at least a year.. I have to admit I cried when she told me that.. I KNOW this is best for my child.. I KNOW this will be a very good tool for Kaylee.. she asked what was wrong. i was honast with her and told her I want the best for Kaylee and that I know others with kids YOUNGER than Kaylee that are on these.. she said she doesn't know any Endo in the area that is giving them to kids.. I guess she was taught by the guy that started this type of thing years ago (25 years ago, his name was Clark.. first came up with the idea or something.. she said she is very glad that minimed has taken the reigns and gone with it--as well as other companies..)but she's seen so much over the 25 years that was suppose to be 'good' and wasn't.. she wants to give it more time.. so she made a deal with me and asked if I could wait till June.. she did say that she would give me the prescription now but didn't feel comfortable doing it... so I told her I'd wait until june.. there is NO WAY I will wait a year or so.. never gonna happen.. and I think she knows that.. so just hoping she keeps her word.. she did say when she was getting off the phone she was going to speak with the other endo in the office and tell him exactly what info she wants from the ADA meetings.. she can't go this year, they have to rotate and take turns... and that she wants it specifically for K.. so if things look good and there is NO major poopoo going on and its mostly good news, hopefully she'll be on the CGMS by the end of june..

while I was talking to her mm called and said I was all set with the insurance and did I want to put the order in.. itold them no, not right now we'll wait.. but glad to see that the ladies over at the insurance knew what they were talking about and it is indeed covered:)

so,although I didn't get exactly what I wanted, its still better than waiting another entire year..

EmmasMom
03-29-2007, 12:02 PM
:( Oh No!

I just really don't understand her, or any other endo's hesitation to try it. It's not like it's some experimental drug with unknown long term consequences!! It's just another way to get blood sugar readings... lot's of them! More blood sugars, and clear trends, and alarms that help prevent highs and lows are nothing to be afraid of!!!!!!

I'm sorry. Hopefully when June rolls around she'll get the info she wants. If she would contact the Barbara Davis Center, where they did many of the trials, she could have that info now. Oh well.

I hope you're not too bummed.:(

AmyMcCracken
03-29-2007, 02:57 PM
When I talked to my daughter's endo about this in February they recommended we wait for the next generation. But after fighting the flu and ketones I decided I didn't want to wait. I sent an email to the nurse and she had the prescription off to MiniMed the next day! ( I waiting to see if I get insurance approval)

I think your endo should work with you. If you aren't going to change your mind, why wait? It's not like the CGMS is an experimental drug that could cause harm. Its an informational tool. You have to do what's best for your daughter. Your endo is a partner but you LIVE this daily.

I hope this woks out and you don't have to wait longer than you want. Good luck!

Kaylee's Mommy
03-29-2007, 06:06 PM
I totally agree with you both.. she doesn't like doing off label things and at first I was told K could NOT have a pump for at least a year after dx.. she got approved 4months after dx instead.. because I did a lot of research and I felt it would be best for her.. and she agreed.. Kaylee was BY FAR the youngest child she has put on a pump.. so..I guess we'll make a new first and she can be the first with a CGMS.. if she doesn't give me the go ahead in june I'll look for a new endo.. I do really really like her..I knew she would be like this about it.. she's afraid that people will take the number on the CGMS for what it is and stop doing finger checks.. I told her that wasn't what I was going to do.. I wanted it simply so I know what direction she is when I check her and she is 80.. well, is she going up or still headed down.. kwim? and I would love it for the over night.. to see wht the heck is going on..

I just keep thinking june isn't to far away:)