Can they do that?

[funnygrl]

I've had my pump since July. Back then, my insurance told me it was covered. Yesterday, I got a letter saying they had new information, and it's no longer covered. So I owe the full cost of the pump. Which I cannot afford. Can they decide to up and do that to me? Will Minimed take a 6 month old pump back? Also, I was far from with holding information. I answer all of the forms honestly.

[BrendaK]

Wow, usually the pump company verifies with your insurance that it's covered before they will even send it to you. Did Minimed send you the letter or your insurance?

I would get on the phone with both of them Monday morning and get to the bottom of this!

What a crappy Christmas "present" I'm very sorry you have to deal with this.

[Richard157]

This seems so unusual! I started pumping with the MM 522 in June. Prior to that Medicare turned me down because of certain blood test results. Minimed was not going to send me a pump until my secondary insurance company agreed to cover the entire expense. If the secondary company had disapproved I would not be pumping now. It is much too expensive for my income. I do not think you should have to pay for the pump under the circumstances. Do you have the insurance company's initial promise in writing? If so, I would get a lawyer immediately and have him/her look into the matter for you. Good luck.

Richard

[OSUMom]

I'd say if they told you it was covered - they can't go back on that.

[funnygrl]

Minimed did all the verifying in the beginning, assuring me that it was covered. Then they shipped it out, I ever got the letter from insurance verifying that they paid. I guess the Medical Director "audited" my doctor for info or something, and decided it shouldn't have been covered. So I got the letter from insurance telling me it isn't covered, and that I should "rethink this service" or something. Uhm, little late for that. I guess I need to call MM Monday. I hate how you always get those letters on a Friday.

[KeltonsMom]

I've had my pump since July. Back then, my insurance told me it was covered. Yesterday, I got a letter saying they had new information, and it's no longer covered. So I owe the full cost of the pump. Which I cannot afford. Can they decide to up and do that to me? Will Minimed take a 6 month old pump back? Also, I was far from with holding information. I answer all of the forms honestly.
If they said in the beginning that they would cover the pump, I do not believe that they can go back on their word..I would appeal..

Do you have a letter or any documentation saying that the pump was covered under your insurance?

[funnygrl]

Unfortunately, I don't have any documentation saying the pump was covered. Minimed handled it all. I imagine Minimed would have it though.

I have the letter saying the Minilink was covered.

[KeltonsMom]

If Minimed has the proof that the insurance said that the pump was covered, they (insurance co) cannot after you have had the pump for 6 months say they will not cover it..

I saw in the other thread that your father wants to hire a lawyer, this may be the thing to do..

Appeal the insurance until they pay..