Kim, Thank you for your encouraging words! I’m so sorry to read that you have been denied coverage for a G5 CGM. I think you should do what we had to do is contact Medicare, and request that you would like to speak to an Ombudsman, and inquire why you are being denied coverage under Medicare. Your doctor may need to furnish CMS with the additional paperwork requirements they are requiring to obtain the G5. This whole fiasco has been very taxing, and stressful for some folks more so than for some others on Medicare. Fortunately, my wife received her initial G5 CGM package in mid August. Since then we even have ordered a second set of supplies, i.e. sensors, & test strips, but not without some more hurdles to jump over.
There still was an additional paperwork requirement imposed on my wife by Dexcom in continuing to ask for additional duplicate chart notes from her doctor which were faxed to Dexcom TWICE! However, Dexcom is NOT very good about receiving documents, or getting them into the hands of the people that need this so called documentation as per CMS requirements. Dexcom not only has frustrated us, but they have also frustrated my wife’s doctor, and her staff by sending them duplicate information. Her Endo had to call Dexcom to specifically ask them what documents they still needed that they claim they didn’t receive.
For these reasons, this is why I say Dexcom IMHO is still the worst medical supplier that we have ever dealt with because their administrative ordering department doesn’t happen to know what the right hand, or left hand is doing especially in our dealings with them. Others like yourself may not have run into these road block obstacles like we have! Dexcom certainly may have the best CGM device on the market, but the same can not be said for their administrative operations. Just like this email my wife received last month:
Sent: Wed, Oct 11, 2017 07:53 PM
Dexcom Continuous Glucose Monitoring (CGM) System
You’re almost there! We are ready to place your supplies order, but we still need more information from you. We have attempted to reach you, but were unsuccessful.
To help us finish your order, please call us directly at 877-339-2664.
This was a HUGE LIE!, as they NEVER tried to contact us, and our home phone still works because we get daily calls from telemarketer scammers even on weekends without trouble! We feel Dexcom has a long way to go in the communications area because for an email that starts out with “You’re Almost there!” can tend to alienate a customer rather than bringing them over to their side. JMHO!
I wish you all the best in trying to get a G5 CGM as I feel you SHOULD be entitled to receive with Medicare picking up 80% of the cost. Remember to contact Medicare @ 800-633-4227 and ask for the Advanced Resolution Center.