HELP! My friend was just denied a cgms from Aetna today. Aetna continues to claim the MM CGM is experimental and investgational. Some of the language in the letter is as follows: A charge for a service of supply is not covered to the extent that it is determined by us to be experimental or investigational A medical policy admin medical director board certified in internal medicine has reviewed your request, including all supporting documentation submitted to date. After this review we have determined that the proposed medtronic minilink transmitter and system are not eligible for payment Aetna considers the long term use of cgms medically necessary as an adjunct to finger testing of BG in persons with type 1 who have had recurrent episodes of hypoglycemia Long term use of cgms are considered experimental and investigational While this response indicates services would not be payable we want to emphasize that the member and physician make the final determination whether the proposed treatment is performed Has anyone overcome this? Thanks.