Hello, Our 6 year old was dx T1 last October. Since then I have spent a lot of time researching and have found a lot of great information from all of you. Thank you. We have decided that the pump is the best way to go for our daughter. As she is very active we decided to go with the Omnipod. Filled out all the forms and were awaiting the final word as to what my out of pocket cost would be. To our surprise we received a letter from CIGNA indicating that the Omnipod was rejected. Spoke with the sales rep who told me that this is not unusual as Insulet (maker of Omnipod) does not have an agreement with CIGNA and is considered "out of network". An appeal letter is being drafted and will be sent to CIGNA. My concern is that the letter states the rejection is due to their view that Omnipod is not considered medically necessary. It seems as if they have no idea what the Omnipod is and how it works. They have lumped it in with "software or hardware additions required for downloading data to a personal computer" and/or consider Omnipod to be a "combined or integrated continuous subcutaneous insuling infusion and blood glucose monitoring system (e.g. Omnipod) in place of the use of a separate standard insulin pump and blood glucose monitoring system". Has anyone else come across this issue with CIGNA or any other insurance companies? We had gone through the pump process a couple of months ago before I had any info on the Omnipod. We initially chose Animas and that was approved within a day of submitting the paperwork.