Managing type 1 without an endocrinologist

[MM1]

@RHOSF

they confirmed the only requirement for coverage of durable medical equipment (including both the pump and cgm) with my plan is a diagnosis.

I’m not on Medicare, but I’ve read posts that say Medicare has strict rules about pump and supplies. Must see doctor every 90 days, and doctor must submit specific notes regarding your treatment. You might find other posts on this, or you could start a new one, or others can comment here.

@Terry4 may have details specific to Medicare, although may vary by state.

Once you know the rules, some doctors seem to have good staff/procedures that make it painless, others describe the experience as a constant PITA.

Here is older post on medicare/doctors notes.

Three-Month Medicare MD Visit Requirement?

I have heard for years that once a diabetic goes on Medicare, he/she must have a doctor’s visit every three months in order to get diabetic supplies. Now that I am actually ON Medicare, I am wondering if that is still true. I have learned that since my insulin pump is an OmniPod (which is covered under Part D), as long as I have a valid prescription for a year, my supplies will come to me. (I am on the SilverScript Allure program, and everything seems to be covered without visit requirements.)…