Saturday, July 22, 2006

Now Covered by Insurance

Jenny says:

Human Resources called today. They have overroad the two denials from the insurance company. They have told the insurance company to cover the Guardian RT and the sensors from now on! Oh Happy Day! We are so thankful to our employer!!

Our rep. told us that a handful of adults have also gotten 80/20 coverage from their insurance agencies! Why is it that everything that comes out about Continuous Glucose Monitors from the experts says that they are not currently covered by insurance. Shouldn't they now say that "some, but not all are being covered by insurance." Shouldn't the people that are trying to get coverage be able to say, "I know of a lot of companies that are covering them." Wouldn't that make it easier on them?

8 comments:

Wil said...

Hooray for you! And Kudos to your HR for pushing on the insurance CO!

Becky said...

Thanks for blazing the trail guys!

Anonymous said...

Wow, that's awesome.

Will you continue to share your son's experience with the sensors?

Ellen

Anonymous said...

Yeah! Blaze a trail. My son Tyler is 11 and will be going into sixth grade. He was diagnosed September of 2005. He uses the Cozmore system so we would like to get the navigator when it comes out and of coarse we would like for our insurance company to pay for it. Reading this is phenominal. keep up the good work. Tami

bethany said...

so ... is he still on the guardian or is he now on the minimed 522? i'm slightly confused - sorry. i'm just wondering because i get my minimed 722 in the mail on wednesday and i'm excited for a new pump but i can't get the sensors because minimed says that my insurance doesn't cover them yet. just wondering.

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Anonymous said...

According to our Nurse CDE, one of the main reasons the continous monitors are not covered is they need an insurance code so they can know how to bill. There are no codes for these monitors yet. I'm sure the insurance companies are not RUSHING to institute the code, either! Hopefully, insurance companies will start covering the continuous monitors soon. Great that you have coverage! I keep checking your blog site and I'm very glad you are blogging again. Your son was one of the very first to wear the continuous monitor, helping children everywhere. I have been wondering if your son would wear the continuous monitors full time since we want one for our niece. I can deduce that these devices are not yet completely comfortable for children to wear. I had a feeling Tommy would find the Guardian hard to tolerate on a full-time basis, the Minimed has a long, thick introducer needle. Hard for kids to have to wear two sites. Until they make these devices easier for children to tolerate, second best would be to have the continuous monitors available for emergencies, and for troublesome weeks, as you use them now. That is what we will probably do; we are waiting for the Navigator to hit the market. I think you are very brave to blog and put your story out there on the net. You have helped so many people. Yet, I am very disturbed by some of the comments left on your blog. Unfair that you are exposed to so much weirdness from the world wide web.