I applied to Dexcom last July 13th for their CGMS, and Dexcom approved my application. Now a year later because I’ve changed Doctors, I have to go through the application process all over again. Somehow I don’t think this is fair. I wonder if anyone else has had to do this?
It is bad enough that Medicare is forcing me to give up my OmniPod, but now Dexcom is requiring me to go through the application process all over again. And this application is just for the privilege of being able to pay out of pocket $350 per month. It is enough to make me cry.
a doctor has nothing to do with your dexcom! I would call back and ask to speak to someone, or speak to a dexcom sales rep and see if they echo the same thing!
Also there is something wrong with your price. I believe I pay $27. after insurance for my sensors and a box of four is $275. They also have a program to adjust costs for those who are paying out of pocket. So you need to talk to someone who can really help you. I will be honest, I had a weak salesperson when I wrote a blog about my buying process, but the local sales rep was AWESOME! I was able to go back to the phone sales and ask the right questions.
http://www.healthcentral.com/diabetes/c/9993/106521/cgm-application
I have no hope of insurance helping to pay for my Dexcom sensors because I have Medicare which SUCKS. Dexcom’s sales rep said because I have changed doctors since the original prescription was written, I now have to apply all over again. And I asked for a clarification of the out of pocket price and that is what he told me twice!!! They are running a ‘special offer’ that would allow me to pay total of $305 a box IF I sign up for their 6 month re-order program.
This means that if I have a credit card on file they will let me pay the $305 a month for 6 months only. I’ve offered to send a check before they ship the box of sensors…but nope … he couldn’t do that. I don’t know what is going on. All I know is - I am going to go broke trying to pay out of pocket for the OmniPod, the Dexcom and the insulin to use in the OmniPod (all because our government will not consider paying for either one).
Myumi-
Your situation is a real heartbreaker, I know the feeling and have been through the same thing over and OVER! I have an excel spreadsheet with 3 mos of bg readings that has a signature line at the bottom that i have had my endo (who is VERY cooperative, and knows the kind of SH%$#T we have to deal with, and she always signs it whenever I need to send bg records into Dex/Insurance, which has been 3 times. The endo and local sales rep says just to be sure to show at least 1 hypo event each week, in order for dex to be covered by insurance. As for right now that is the case with me, I pay $50 out of pocket each month…so I am feeling lucky. If you find yourself getting into financial straights, please visit my site www.supportersofsurvivors.com and leave your email address, we (the company I own “Survivors Network” are offeing financial assistance to those who are in medical need. We are not an insurance company, and there is no charge for the help. Just go to the “contact us” page, and leave me your email address so we can converse in private.) I am sorry if I have already provided you with this information, I am just trying to get it out there to everyone!
This seems strange. I could see them requiring a new prescription as they need one every year. But that shouldn’t be that difficult especially for something already established. It seems to me it should be kind of like refilling a prescription.
Good luck.
Diana
Medicare turned me down for both my pump and my Dexcom. My seconday insurance paid fo both, and all the supplies. They wanted records of all my BG readings for the past 6 months before they would approve my Dexcom. I have kept daily records for many years. I usoally keep records for the preceding year, so this was not a problem. The records showed a roller coaster control with rather frequent lows. They accepted promptly after they received the records.