I have only had the G-5 for about 6 months. i am on Medicare and have been getting the monthly supplies direct from Dexcom. There was no problem that I was aware of setting it up. About 5 yrs ago, I was getting my pump supplies through CCS and they seemed fine.
I’ve always got all my Dexcom supplies directly from Dexcom and my pump supplies directly from Medtronic. Never used a third party supplier. It seems much more sensible to me, but I know it’s common to have to go through a third party.
I had similar hassles with my insurance and Edgepark. I documented everything in writing (emails) to the insurance company, called multiple times, etc. and finally convinced the insurance company to allow me to order Dexcom supplies at pharmacy. The way I convinced them was by documenting that they were faxing prior auth paperwork to each other using “wrong fax numbers” and I was being promised quick resolution over the phone with zero follow through at both the insurance company and Edgepark. After about a month of this I was called back by the pharmacy benefits manager who offered to set things up with my pharmacy for ordering Dexcom and I jumped at that offer. For contract reasons, they would not allow me to order direct from Dexcom for DME. While I was still hassling with Edgepark, my insurance offered Byram but I did not want to try them because I suspected that my problem was caused equally by my insurer and my DME supplier and did not think a switch to Byram would solve it.
Insurance still covers as DME benefit when I order at pharmacy (deductible and copay still applies). I have to call the insurance pharmacy benefits dept. before each order, they call the pharmacy and enter an override into the system, and then I call my pharmacy and the orders sail through. This is still a bit of a hassle but is worthwhile for me. The pharmacy pricing is much lower than Edgepark and I am saving money on my 20% co pays.
I feel you with Edgepark. I have to call them about my orders Every. Single. Time. Up until this year my insurance woule only allow me to go through Edgepark. When they changed that I was pretty excited…until I realized that the way they “opened up the market” basically still means I have to go through Edgepark as they are the only ones that meet their new criteria.