Medicare appeal for cgm sensors

Thanks much Sally. I have myself and BOTH of my children with type 1. We are all on the 670g pump. My daughter chooses not to bother with the cgm any longer. My on uses the dexcom sensors and he likes it so his wife can easily monitor and help. Yes I Did appeal to Medicare with a nice write up from my Dr. my secondary is Tricare (through my naval service). They approved the sensor but they only pay 40% I think. With Medicare paying zero, that leaves me owing Medtronic close to $1,000 from two 90 day orders. They will not be shipping out any more orders now until I pay them (which I can’t at the moment).
3 years ago I got stage IV bladder cancer. I had to have my bladder removed. My nav insurance (Tricare) refused the robotic surgery and said I had to go to the military cancer hospital in Mississippi for convential surgery and 90 to 120 days of rehab vs 5 days in patient and a couple of weeks of home bound care. Plus I would have to use a bag the rest of my life vs a Neo bladder made from my intestines. I called my congressman and said I have a Purple Heart and Navy commendation and 27 years service and they won’t help. Within 6 hours I was told Tricare had approved me for immediate surgery. Ugh I hated pulling that card but I wanted to have a quality of long life.
My long winded point is; I learned to fight! I will continue. I so appreciate your concern and support and hopefully we both can get good news. Sorry for being long winded

1 Like