In 2007, I submitted a request to my insurance for a DexCom CGM system. It was quickly denied. In fact, at that point, Blue Cross Blue Shield of Florida had not approved a single request. I thought about fighting the denial, but was switching doctors and didn’t really have the numbers behind me to be the first person approved.
After hearing about more and more people getting their CGMS systems quickly approved, I decided to talk to my endo about it at my last appointment. She was very supportive, if a little confused as to why I wanted the DexCom if I use a MiniMed pump. I told her I probably would not be with the MiniMed past my next warranty.
She said that if I was thinking about switching to Animas (which will be very tempting if they are the next to have an integrated system), to get the CGM now and wait for the integration before I get the pump. That way I will only be paying to upgrade one system, not both.
So, I submitted the required paperwork to my insurance and just when I was about to call to check the status, my DexCom rep called (it was actually the day after I mentioned it in a Just Talking episode). She said I had been approved. Now let’s talk details.
As a final step before I could receive my system, I had to provide them with 60 days worth of blood glucose logs. And it could not be a Carelink report, it had to be on THEIR form. Well, let me just say, I know why people fake their logs, that was quite the task!
And my insurance “coverage” – well, it was better than nothing. I haven’t met my deductible yet for this benefit year, so I am responsible for that and then I am responsible for the 30% of my 70/30 PPO coverage. Instead of paying an arm and a leg for the system, it looks like I will only owe them about an arm.
According to the rep, I could have the DexCom system in my hands as early as this week.
To my soon-to-be fellow DexCom users, what are your best tips?
Just for fun – a comparison shot to the one above. This is a shot of a MiniMed CGM sensor after a 2009 trial through my doctor’s office.