So looks like the battle with the insurance company has started. I was told three weeks ago that either a pump or omnipod will be 100% covered. All paperwork was signed off by my doctor and educators. But now since I met my deductible with my hospital stay earlier this year I think they are trying to jimmy their way out of having to pay for it. Their first reason was I didn't test my blood sugar enough everyday. I suppose 4-5 or even 6 times a day isn't enough for them. It is though - they just made that up. Second reason was I wasn't compliant with my diabetes education. I found this odd because it was my diabetic educators who helped me fill out the paperwork and suggested I request either a pump or the omnipod. My Endo also signed off on all the paperwork.
All in all - there is a reason why they don't record their phone calls. It was as if they just try to make such incomplete sense that maybe, me the patient, would just give up on it. Now they said I have to write an appeal letter and won't be able to apply for another 6 months - and guess what happens at the beginning of every year? deductible reset. I bet if I waited to ask them Jan 1st this would have never been a problem.
Both my educators are calling the insurance company today and putting them on speaker phone to discuss this with them. They are not happy - nor is my Endo. Has anyone else had similar issues? I really want to stop using the insulin pens and having to take 4-5 shots a day. I have worn test pods and really really love them.