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Insurance Companies Covering CGMS

Discussion in 'Continuous Glucose Sensing' started by jpb286, Apr 11, 2007.

  1. jpb286

    jpb286 Approved members

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    I am putting together a list of insurance companies that are currently covering CGMS systems. If you have one to add not listed here, please PM me and I will edit the post to add it to the list. I am trying to keep this thread/post as "clean" as possible, (trying to minimize the number of replies) to reduce the amount of posts people have to wade through to see if their insurance company is covering this device.

    ***MODERATORS*** I think it would be really helpful for ALL interested families to "sticky" this post.

    INSURANCE COMPANIES COVERING CGMS:
    Anthem BC/BS of Tennessee
    Anthem BC/BS of Virginia (on a case-by-case basis)
    Blue Cross Blue Shield of Minnesota
    Blue Cross Blue Shield of Nebraska (on a case-by-case basis)
    Medica
    Tricare Prime
    United HealthCare (on a case-by-case basis)
    Aetna (on a case-by-case basis)
    HealthPartners of Minnesota
    First Administrators
    International Medical Group (per Budapest)
     
    Last edited: Jul 2, 2007
    Budapest likes this.
  2. Mama2H

    Mama2H Approved members

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    We have First Administrators and they are covering our CGMS :D
     
  3. kevin@diabetech.net

    kevin@diabetech.net Approved members

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    Can you also collect info regarding what is being covered? For example, the handheld, a transmitter and the policy regarding sensors (as in how many per month or per year)?

    Thanks
     
  4. jpb286

    jpb286 Approved members

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    I will see what I can do. Many of these are being dealt with on a case-by-case basis; and what IS covered is highly dependent on what YOUR individual policy allows, so its really best to check with your insurance company regarding your specific policy.

    If anyone who has one of the above mentioned insurance companies (or another one not listed), could PM me what was covered so I can add it to the list per Kevin's request that would be great. Let me know if you dont want your username listed, and I will delete it, i just think it would help to establish credibility for something like this and help other patients/parents talk with you about gaining coverage.
     
  5. lisamomtotwins

    lisamomtotwins Approved members

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    of course I dont see Cigna on there! :( We are switching to them in June, DH got a new job and right now we have United.
     
  6. momoftwo

    momoftwo New Member

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    Our pump rep told us Blue Cross Blue Shield of Minnesota is covering it now. We don't have that insurance, but thought I'd pass that along.
     
  7. jpb286

    jpb286 Approved members

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    Again people, PLEASE STOP POSTING REPLIES ON HERE!!! I am trying to make this a database/reference for everyone on here, which was the reason I had Jeff make this a sticky. By people posting on here, it takes away from the original purpose of the thread, and turns it instead into a "discussion"; which is exactly what I was TRYING to avoid.

    ***IN THE FUTURE, PLEASE DO NOT POST ON HERE, PM ME IF YOU HAVE AN ADDITION/DELETION/CORRECTION TO MAKE.

    ***ADMINS, IF YOU COULD PLEASE DELETE ALL OF THE ABOVE REPLIES EXCEPT THIS ONE, THAT WOULD BE MUCH APPRECIATED.
     
  8. momoftwo

    momoftwo New Member

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    Sorry - I didn't know since this is the 1st (and last) time I posted on your board.

    That was rude. If it's a sticky then "lock" the topic so no one can post.
     
  9. jpb286

    jpb286 Approved members

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    I mentioned it in the original post:

    It wasnt rude either, it was a request which was ignored, repeatedly. It also wasnt necessary to post yet ANOTHER reply after the last post I just made AGAIN asking people not to post. That was more rude on your part than mine, but thats semantics and not worth arguing. I am not an admin, so I dont have the capability to lock the thread and THEN edit the post. That was why I made the request originally.
     
  10. kevin@diabetech.net

    kevin@diabetech.net Approved members

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    CGMSCentral.com for reimbursement

    You can create or edit your Insurance Carrier's page regarding coverage for continuous glucose monitoring at http://cgmscentral.com ; a site on the web dedicated to helping people help each other to secure reimbursement.
     
  11. halfnelson

    halfnelson New Member

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    Blue Cross covered mine with no questions asked....:D
     
  12. Brensdad

    Brensdad Approved members

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    It WAS rude, and if you don't want responses don't post it in a FORUM.
     
    OSUMom likes this.
  13. Darryl

    Darryl Approved members

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    The list of companies has been expanded since the original post (from http://cgm-antidenial.ning.com/)

    • Anthem BC/BS of Tennessee
    • Anthem BC/BS of Virginia (case-by-case basis)
    • Horizon BCBS of NJ
    • Blue Cross Blue Shield of Minnesota
    • Blue Cross Blue Shield of Nebraska
    • Carefirst BC/BS of Maryland (PPO)
    • Empire Blue Cross Blue Shield, NYC (case-by-case)
    • GHI ( Group Health Inc) of New York (case-by-case)
    • Medica
    • Tricare Prime
    • Tricare (Military insurance managed by Humana) Texas
    • United HealthCare (case-by-case basis)
    • Aetna (case-by-case basis)
    • HealthPartners of Minnesota
    • First Administrators
    • International Medical Group (per Budapest)
    • Regence BCBS of Oregon
    • Mamsi/United Health Care Optimum Choice
     
  14. Logansmom

    Logansmom Approved members

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    We are with CIGNA and ours was covered.
     
  15. Darryl

    Darryl Approved members

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    Updated to include CIGNA and IBC of PA

    • Anthem BC/BS of Tennessee
    • Anthem BC/BS of Virginia (case-by-case basis)
    • Horizon BCBS of NJ
    • Blue Cross Blue Shield of Minnesota
    • Blue Cross Blue Shield of Nebraska
    • Independence Blue Cross of PA (as of 10/2/2008)
    • Carefirst BC/BS of Maryland (PPO)
    • CIGNA / Connecticut
    • Empire Blue Cross Blue Shield, NYC (case-by-case)
    • GHI ( Group Health Inc) of New York (case-by-case)
    • Medica
    • Tricare Prime
    • Tricare (Military insurance managed by Humana) Texas
    • United HealthCare (case-by-case basis)
    • Aetna (case-by-case basis)
    • HealthPartners of Minnesota
    • First Administrators
    • International Medical Group (per Budapest)
    • Regence BCBS of Oregon
    • Mamsi/United Health Care Optimum Choice
     
  16. Abby-Dabby-Doo

    Abby-Dabby-Doo Approved members

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    Coventry Health Care of Iowa, Inc (case by case basis)
     
  17. rachabetic

    rachabetic Approved members

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    Blue shield HMO in California. (case by case...it took me 6 months and 3 appeals to get it covered)
     
  18. BrendaK

    BrendaK Neonatal Diabetes Registry

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    Anthem BCBS of Ohio. Easy approval, no questions asked. Navigator for 8 year old.
     
  19. Gwyn

    Gwyn Approved members

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    We're joining the CGMS club--Just got the pre-approval from BCBS of Iowa!

    Updated list:

    Anthem BC/BS of Tennessee
    Anthem BC/BS of Ohio
    Anthem BC/BS of Virginia (case-by-case basis)
    Horizon BCBS of NJ
    Blue shield HMO in California. (case by case...it took me 6 months and 3 appeals to get it covered)
    Blue Cross Blue Shield of Minnesota
    Blue Cross Blue Shield of Nebraska
    Blue Cross Blue Shield Iowa (by appeal)
    Independence Blue Cross of PA (as of 10/2/2008)
    Carefirst BC/BS of Maryland (PPO)
    Coventry Health Care of Iowa, Inc (case by case basis)
    CIGNA / Connecticut
    Empire Blue Cross Blue Shield, NYC (case-by-case)
    GHI ( Group Health Inc) of New York (case-by-case)
    Humana
    Medica
    Tricare Prime
    Tricare (Military insurance managed by Humana) Texas
    United HealthCare (case-by-case basis)
    Aetna (case-by-case basis)
    HealthPartners of Minnesota
    First Administrators
    International Medical Group (per Budapest)
    Regence BCBS of Oregon
    Mamsi/United Health Care Optimum Choice
     
  20. MaryMom

    MaryMom Approved members

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    I see that Tricare Prime is listed.

    They have recently changed and are VERY difficult to get a CGMS.
     

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