I posted at my blog: www.homeschoolingdoctormom.blogspot.com
I just wanted to say that I too am a victim of the CGMS Denial SCAM by the insurance companies! I have lived with Type 1 for over 23 years now and my current A1C is 7.4. Blue Cross denied me the CGMS by stating that I am in “too good of control”… WHAT??? I thought that if your A1C was not under 7.0 that you still had some work to do in order to be under good control. Granted that my A1C is much better than some, I still cannot believe that the insurance companies can get away with this excuse! It’s time that the insurance companies take the PROactive approach to diabetes care as all of us do and cover things early in our treatment instead of waiting until we have the complications such as blindness, heart attack, stroke, amputations, or worse. The insurance companies would spend less money if they covered these newer technologies up front. I guarantee you that the cost of covering the CGMS is far less than that a few days stay in the hospital for something that would be avoided by using the CGMS.
Thanks to Gina & others for this wonderful idea!
Here is another post! This one is on dLife.
Here is my link for a CGMS Denial Day posting…Thanks again for doing this.
On Twitter, Plurk and Brightkite, my username is Wyldceltic1.
On ooVoo, a video chat client my username is the the same. I am yakking and blogging, and also went an email to Insulin-pumpers.org.
I posted mine.
Thank you all for participating! We are going to keep this going for the rest of the week. Don’t forget to tell everyone to link here if you pass it on!
Thank you, Gina!
Some of the blogs by folks here look darn good. I didn’t do as good a job as some, but tonight I did go to a pumper’s support group and mentioned this day, and tuDiabetes. People there know about tudiabetes, but few knew about the CGMS denial day.
Hopefully, this will spur a few more locals in the OC, Southern CA to help take some action of their own to get this out there.
Twitter, Plurk, Brightkite… and
ooVoo chat: Wyldceltic1
Thank you, Gina!
Here is my post:
Overdosed on Humalog: Free!
One mile ambulance ride to hospital: $2920.00
Hospital bill for useless tests: $33592.94
Box of ten sensors: $350
Denial of benefits: Priceless!
We were initially denied but I won out because my husbands insurance company is self insured so I went to his boss’s. I am currently try to help a friend gain approval through her insurance company after several denials. I posted here:
Press release http://www.prweb.com/releases/2008/7/prweb1072124.htm
I call my Highmark PPO Blue provider every 2 months just to hear them tell me that my sensors for my CGMS are not covered. My doctor has asked me to write a letter so that he can also make a formal appeal.
Since I have had the CGMS my A1C’s have gone from 8’s to 6.7. That is a major drop. I have had type 1 for 47 years and the CGMS is a miracle.
My insurance paid for the pump/CGMS but won’t pay for the sensors. This is ■■■ backwards. The insurance providers need to recognize the up front cost will save them alot of money because diabetics can have better control and therefore less costly medical bills.
IN TOTAL SHOCK!!!
I HOLD IN MY HAND, TEARS DOWN MY FACE AN APPROVAL LETTER FOR THE CGMS!!!
I cannot believe it! No denial, no fighting, just as if 'Oh, OK, here"…
I have yelled out SO LOUD, the dang neighbour looked over the fence thinking I’d won the lottery, and in a way, I have!
OMG, I’m going to FRAME THIS LETTER!!
GET OUT! who is your insurance company?
It is imperative that insurance companies recognize the need for the CGMS to save the lives of diabetics. I technically have had diabetes since childhood 50+ years, have hypoglycemia unawareness, have had serious lows that included seizure and unconsciousness. How close to death and how many times can this happen without the loss of the individual?Insurance companies need not discriminate. Deciding insurance parties need to be educated on the need for the CGMD. Many diabetic patients can be controlled only with CGMS effectively; to increase our chances of not having serious side effects which are extremely costly to the “system”. Early stroke, death, and the complications of diabetes which are “deadly” could be avoided if insurance companies and MDs would be advocates for the Diabetic patients. Life is priceless, neglegence and negativity costs lives. Lee