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help with Dexcom CGMS insurance claim

Discussion in 'Insurance Issues' started by ruhim, Jul 31, 2008.

  1. ruhim

    ruhim New Member

    Jul 31, 2008
    Hi all,


    I am a juvenille diabetic for past 24 yrs. I have coming to this site often to read everyones experiences but have never posted anything till today.
    I am Animan 1200 pumper and also have recently started usuing Dexcom CGMS for past 2 months.

    Yesterday I learned that my insurance i.e. Guardian has applied my
    Dexcom claim to my out of network deductible.

    The rep from Dexcom said that since Dexcom is not 'covered' by my
    Guardian, it is reasonable for them to apply the claim towards my out
    of network deductible which is 1000$ .

    The rep said that Dexcom partners with only 3 insurance companies to
    not qualify itself as out of network . The insurance companies are :
    1) Select Health
    2) Health partners
    3) Physcian Partners(?)

    This seems very weird to me.
    Does this mean that only those of you whose insurance was one of the
    above ever got their claim approved ?

    Why didn't Dexcom give this information at the time of my purchase ?

    Am I missing something here ?

    Any insight will greatly help

    T1 24 yrs
    Animas 1200 pumper
  2. nobodybutjustme

    nobodybutjustme Approved members

    May 21, 2008
    Our family has "tri-care military coverage" I have applied for Dexcom repeatedly and been denied. The dexcom rep was wonderfully helpful, but I am left feeling that THERE MUST BE SOME WAY to get a CGMS covered by our insurance. Very frustrating. . . .

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