I changed my insurance plan this year with United Health Care, so that my co-pays would go up a bit, and I’d have to use all in-network providers–with the upside that all durable medical goods would have a $0 co pay after I met my deductible.
I’m dealing with Advanced Diabetes Supply, which has generally been great to work with. But they told me while my dexcom sensors are paid 100 percent after the deductible has been met, it’ll cost me a $55 copay for my pods because “We are only able to bill the pharmacy side of your insurance benefits for your omnipods at this time. We are unable to bill the medical side of benefits due to reimbursement rates.”
I’d like to get the pods billed as durable medical goods. Is anybody doing that? And if so, who do you use? I’m on the phone with insurance right now to get some clarification on this, but thought I’d probably get better advice here