I am now at my wits end and need some help. I had appealed the coverage of my CGMS and received my letter of denial this Saturday. I had do appeal this through a Trust Fund that supplies my medical insurance which currently is Blue Shield. The letter told me that the trust fund "adopted Medicare guidelines for coverage of durable medical equipment". Then it goes to tell that "Medicare considers a Continuous Glucose Monitoring System to be precautionary and does not cover the item".
My question is this has anyone on Medicare ever gotten coverage for a CGMS? What did you have to go through to get it?
They didn't even address any issue that I mentioned in my appeal especially the hypoglycemic unawareness! I am really really ticked right now and just don't know what else to do!
Any help you can give would be appreciated!