Insurance now covering sensors! Or so the pharmacy says

Not sure I can trust this 100% because a couple of years ago when I decided I wanted to start using a CGM my insurance said they were going to cover it. So I contacted Edgepark and they said it was covered and shipped my a new Dexcom and a box of sensors. Then less than a month later contacted me again wanting to send me more sensors. I think they wanted to send me more than one box and looking back on it I should have let them but I told them no one box at a time was fine.

Well before they could send me a third box they found out that NO my insurance wasnt going to cover it. So after that any time that I wanted sensors I had to pay for them 100%. Out of pocket kind of sucks.

But over several years now I am addicted to using them.

So…I got a call from the pharmacy that I have been purchasing my Omnipods from. They said my insurance is now covering them. I told them about Edgepark saying the same ting a few years back and that they had never sent me a bill so I basically got the Dex itself for free. He said they couldnt bill me afterwards but that they had verified everything so it was all good. So I ordered one box and will now start getting one box monthly.

Being self pay I have stretched each sensor as far as possible. I usually get about 21 to 24 days out of each sensor and once got 30 days. I am soooooo thrilled I dont have to do that any more! Since I am on social security (disability) income it was all I could do just to scrape the money together to buy each box. But now I have a zero copay so things couldnt be better.

I dont think I am going to immediately start changing them after 7 days ( well I may never do that ) I might as well get a cushion in place just in case they come back and say they arent going to cover them. But at least for now things look much much much better!

That’s great news ! Mine are covered, but I still use them as long as possible (just in case). I’ve gotten 22 days but never 30!

I think the 30 days was a fluke. Its always 21 to 24 other than that one time. But since I have been paying for them 100% out of pocket I would have been thrilled if I could have got more of them to last 30 days.