Medicare currently has 4 requirements for CHM approval:
1 - patient must be Diabetic
2 - patient must be injecting insulin
3 - patient must test at least 4 times a day and needs to submit 30 day blood glucose logs (BGL)
4 - patient must supply Medical Records from within the last six months
In addition to the initial phone interview with Liberty for name, address, insurance, etc. I sent the following to meet these requirements:
- a one month report from my Animas Vibe meter remote via Diasend. That included BG values that I entered manually from my G4 when bolusing for meals and high BG’s plus those from actual test strips. I was able to scan and email that report to Libert Medical.
- a 6 month medical report from my doctor. Liberty requested this but I followed up with an email to the Endo’s office to clarify why Liberty needed it.
- an ABN form or Advanced Beneficiary of Notice of Noncoverage where I chose option 1, meaning I want them to ship as soon as I meet the 4 requirements and will pay for the G5 if for some reason Medicare and/or my supplement does not. The other option 2 is you will not pay but will wait until Medicare approves and then have them ship the G5.
The process started March 29 with the phone interview and should end next Wednesday, April 12 when I am scheduled to receive my G5 initial 3 month shipment. Hurray!!! No more paying $304/month!!! What will I do with that extra money? Why, go to Disney World, what else? ( note: we live 13 miles from their main gate so I really will save most of it:smirk:)
PS: there is a phone number to call just for the Medicare CGM folks: 1-888-560-4005.
Good luck to everyone!