CGMS Journey - Chapter 4 - DENIAL Letter #2

The letter read…
"All information was reviewed. We have determined the continuous glucose monitoring system (CGMS) is non-covered and will not be eligible for benefits. While the CGMS may be FDA approved, it is not a covered benefit under your contract with XXX insurance company. Purchase or rental of continuous glucose monitoring devises are related supplies is considered deluxe, and therefore patient responsibility and deluxe items are non-covered by your contract.

As far as I understand the CGMS is deluxe for everyone in Kansas under this insurance company and no one is covered.

So not sure what to do next. I will probably take another look at my list of benefits and also give the Kansas Insurance Commission a call to see if they can provide some guidance.

well, Coventry of Kansas approved mine…

I happy for you.