Discussion in 'Parents of Children with Type 1' started by hawkeyegirl, Nov 30, 2011.
See ya later.
If you cant tread it PD me your email
Then hit'm with this and get them to pony up for a CGM
UGH that is ridiculous! I hope you get that straightened out ASAP!
Thanks Badshoe for that link. I'll be saving it just in case our BC tries the same thing.
Why don't the insurance companys get this+ Overall, more frequent SBMG seems to be associated with better metabolic control and thus may particularly contribute to reduce the occurrence of late diabetic complications among children and adolescents with type 1 diabetes (2), who are at increased risk for developing late diabetic complications as a result of almost lifelong suffering from the disease.
Do they think that because they cover the CGM 100% that it will require less bg testing? As illogical as it seems, I can kind of see the logic in it (though I don't agree with that kind of logic).
I don't know Bennet - that study also says that:
Increasing the SMBG frequency above 5/d did not result in further improvement of metabolic control.
So more than 5 tests a day didn't give better control and it seems like her insurance is currently giving her enough strips to equal about 5 a day plus a few extra.
There is incredible new data from the T1D Exchange. See:
Sorry I was actually researching a term paper due on friday and didn't read past the first few lines.
We have BCBS IL HMO as well and all it took was one form for the doctor to sign off on saying that we needed 900 strips (3 months supply) and it was approved within a couple of days. It really wasn't a fight at all. I downloaded the form from their website, had the doctor fill out and sign, and I faxed it in. Hopefully it will be just as easy for you.
We have had a similar experience- always have had BCBS PPO, in three different states. One time per year (it is good for 12 months if I recall correctly) the physician, endo, has to write a letter of medical necessity indicating why the number of strips ordered are a necessity (ie: hypoglycemic unawareness, wide fluctuations in bgs, etc.) I have only seen the letter one time but I know our endo "fluffs" it a bit, the same as the letters for CGMS coverage. I know every plan is different even if it is the same insurance but we are able to get 650 strips per month per child and it is approved often within 24 hours.
I'm glad you posted it - that was interesting to read actually. What really is surprising is that 5-6 tests per day is considered "increased" testing for some kids with type 1 - really???
Now that I have had a chance to read more than I had yesterday, I actually saw that part. At our visit to the endo in August, a new RN told us that many of the patients/parents at our clinic are not testing as much as they should. Made me wonder how many times a day they would test. I just cannot see testing less than 5.
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