Maybe I missed something, but your plan is likely the biggest hurdle you need to understand.
What is the plan?
Which doctors are automatically covered, meaning in the plan?
What is the reimbursement for out of plan services?
What medications are covered
Personally, I am lucky to be working for a major cancer center, and most of our (spouse and self) doctors are in plan, so we pay a $50 copay to see them. For doctors not in the plan, we get reimbursed at 80%, after we cover the initial deductible. All of my medications are covered, so insulins (humalog/lantus), test strips, CGM (Dexcom G6), and medications (high blood pressure, statin) are covered, each with a small $15 copay.
I have decent insurance. My insulin is 30 dollars a month no matter how many bottles or pens I use.
It is likely that your insurance will change when you move to the US and most private insurance employer plans will pay at least 80% of your CGM
And yes you still need a prescription even if you pay for it completely.
Most importantly you need to learn to say Y’all. As in “How Y’all doin’ today”
It is an important Texan thing.
Also that There is a plural for Y’all. You might think it’s all ready plural. It isn’t
The plural is “All Y’all”, As in “ I hope All y’all are ready for the meeting today”
As an additional reminder, if it gets difficult to get your insulin quickly in the US, you can order it by mail in Canada and in Texas can expect to receive it within about 1 week. The cost with shipping to import from Canada will be about 20% of the cost of buying the same insulin in the US.
Freestyle Libre sensors in the U.S. are by prescription only and your Dr. should prescribe it but you must ask them to do so. Using a coupon from GoodRX the freestyle 14 day sensors cost about $128 for 2 sensors, also keep in mind that the European reader that you have now will not work with U.S. sensors so you will have to buy one of those as well and you will need a prescription for the reader as well.
I currently have an endocrinologist but when I did not my PCP did handle my prescriptions however this varies widely with some PCP’s being willing to handle diabetic patients and some not. The PCP that @Luis3 recommended is about 3 hours from Dallas but it might be worth your while at first since you are new to the U.S. healthcare system to make the trip out to her so she can get you set up with all of your prescriptions. Also the Human Resources at your new job may be helpful in navigating U.S. health insurance issues.
just wanted to chime in, as most topics have been covered, however, i do have 3 recommendations. dallas/fort worth is usually under construction as far as highways, etc, try to find the closest doctor/specialist to your home and start there…they’ll tell you its not that far, but it is…the European libre is not the same as the heavily encrypted us versions that have a lot of trouble working with phones and watches… i would try to switch to dexcom as long as your insurance will cover them equally… they usually will cover either one now as long as your pharmacy/doctors do their prior authorization dances correctly. lastly, many insurance companies have their pharmaceutical company preferences, and you will likely pay 2 or 3 times the cost for prescriptions if you are not flexible… switching to lyummjev, fiasp, tresiba, levemir, basaglar, etc could easily be in your future… i find it to be cheaper to avoid durable medical shenanigans if at all possible and try your best to have everything go through the pharmacy and most importantly, always check costs 1st before paying… you can always leave, call the doctor/insurance then return and pay less as long as your insulin needs are flexible… also i would recommend slightly more insulin levels especially if you will be eating at restaurants