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Need help getting Blue Shield CA to cover CGM Guardian

Discussion in 'Insurance Issues' started by saramegan, Feb 27, 2008.

  1. saramegan

    saramegan New Member

    Joined:
    Feb 27, 2008
    Messages:
    1
    Rick - I have been told to ask for your help as you are amazing at helping people get their CGMs covered. We have a 3 yr old, dx at age 1 and have had the Guardian for a year now - sooooo expensive and our insurance denied coverage. We could NOT keep her in range without our CGM. Help! Thank you so much.
    Sara, Jamie's MOm
     
  2. rickst29

    rickst29 Approved members

    Joined:
    Jun 2, 2006
    Messages:
    578
    I'm sorry,

    but I don't think that I have the skills to tackle an appeal in an "off-label" usage scenario (Jamie's under the minimum FDA-approved age of 7 years, your fight will be too tough for me).

    OTOH, I'm going to be posting a bunch of de-identifed "appeal letters" and insruance company denials and policy statements in the next few weeks, please go ahead and copy anything you can use, and present any of my useful phrases AS YOUR OWN without attribution.

    That goes for everybody. ;)
     

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