Dexcom G5 and Humana Medicare Advantage Plan

Diabetes Technology Glucose Monitoring
#1

I was obviously very happy when I found out that Medicare would start covering the G5 for diabetics that could meet their requirements. I immediately called Humana to firm the coverage and they confirmed it. I called Dexcom in July 2017 to find out what I needed to do to request the new G5 system. that was now covered by Medicare. An agent took all my information and told me that they had a backlog, but would add my name to the list. Since I hadn’t heard anything from Dexcom or seen anything on the forum I called Dexcom today to check the process status. The news I got wasn’t what I wanted to hear, which was that Dexcom and Humana were still working out a contract and they would let me know when and if it was completed. My question is are there others on the forum aware of this hold up or know anything about the mess. why wouldn’t one contract with Medicare cover all this crap.

Thanks,
Bob

#2

just one issue with insurance coverage is that 2 people could tell a doctor or pharmacy that they had “x” insurance (BCBS, Aetna, Humana, United Healthcare, etc), BUT the issue is that not all policies have the same exact coverage. Therefore no one can make a quick and blanket assessment that either you are, or are not covered by any particular insurance policy until they check into it specifically. I’ve been told this time and time again. I share your frustration because now that I have been wearing the G5 since early September I can see that it is even better than I ever imagined. AAMOF, within the last 45 minutes it alerted me to an impending low, so I came in and got some fast carbs. Major discomfort avoided. Good luck and keep calling! We called numerous times because they goofed up (dexcom sales) by not following through with another department that handles the insurance. After a couple more calls, they apologized and sent out our G5’s swiftly.

#3

Hey Dave the Dexcom CGM is great. I use the G4 with share now, which I pay for out of pocket. It can be a rough world out trying to get all parties on the same page. That was one the reason I made my post. I didn’t have any reason to not believe what I was being told wasn’t true, but the impress that Dexcom left me was that negotiations are still going on with Humana related to this matter. I didn’t understand why Dexcom was negotiating anything with Humana Advantage Medicare Plan. Humana must use Medicare guidelines relating to Part B approved devices and Medicare is now covering the G5 to my knowledge. I was just wondering if anyone else was dealing with this issue that are members of the Humana Medicare Advantage Plan like me.

Thanks,
Bob

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