Hi Barb, I am the person that Kelly was telling you about. We had HAP insurance before and no problems. This Blue Cross is a nightmare! These people that work for Northwood don’t know anything, except to tell us that these things are not covered. That is NOT what the “Your GM Benefits” says about these items. Pages 71 -74 deal with durable medical items. It says that portable insulin pumps and home glucose monitors are covered for certain diabetics. Northwood just says it is not covered. There is nothing that says that Omnipods are excluded, and Northwood even told Insulet that we just needed to call and get an in network provider. Of course when I called a second time to verify this, I was told again that it simply is not covered.
My husband is dealing with HR and that is who turned it over to someone at Blue Cross. There have been 3 different people at HR made aware of this and have sent him e mails and they are the ones that got the woman from Blue Cross looking it this. She has called me a couple of times and is contacting the doctors for more info before turning this over to their doctors to review. I do have the appeals package ready to start on if they say no.
The more people screaming about this the better. I don’t know if Tony was your trainer for the Dex, but he told me that Ford had this same policy and someone fought against it and that Jan 1st they had coverage because of it. He offered to get me in touch with her, but I haven’t heard back from him.
I don’t know how to get you my e mail addy on this board without posting it here, so if you could send me yours, we could be in touch and hopefully help each other to get this coverage. I am just sick about it and willing to fight as long as it takes. We cannot afford to pay for this out of pocket and shouldn’t have to be made to switch. I wish they would give me back my HMO!