Here’s the story from my experience with CCS Medical: they stink and need to be forced to do what they were contracted to do with Medicare (CMS).
Rule #1: I make no insulin!
I don’t state Rule #1 to be critical of anyone who makes insulin, but as an important fact when dealing with profit based insurance companies or medical equipment suppliers. It IS my experience that insurance and DME suppliers tend to treat me as though I make insulin. They also tend to want to amend my doctors orders to better suit their profit driven business model. While never confirmed or denied by CCS Medical, I found it to be the case.
You will need to contact CMS to get CCS to give you what you need, what your doctor has ordered. CMS contact information can be found on the internet by district and then by specialty/medicare part. there will be phone and email contact information listed. Contact them and explain your problem to the point. Do not expect a reply from CMS, but you hopefully will be contacted by CCS Medical cheerfully compleating the order as written by your doctor.
My CCS Medical oddessy began when I began losing my vision after over 30 years of being T1. Now being disabled, I went on Medicare. At the time Medicare did not cover the OmniPod that I was using at that time, but they did cover the Medronics Minimed G630 under part B and the insulin to fill it. Medrtonics farmed my case out to CCS Medical who I was told handles all of their Medicare clients. Medicare likes to move in blocks of 90 day supply. This is faulty in that all months of the year do not contain 30 days. Look at your calendar. Any 3 consecutive months do not contain 90 days. Also when using a pump does it always last 3 days? Do you sweat one off, knock it off or have failure of any kind making you replace it ahead of the 3 day guideline? Whatever the reason, it happens. My doctor has written prescriptions/orders for a few extra to cover these unforeseen events. I cannot go without insulin. See Rule #1. CCS Medical would not send me the extra supplies, claiming that Medicare doesn’t allow it. They told me to have my doctor to call their compliance department, which she did. She was frustrated by them when they told her Medicare doesn’t cover that amount of insulin. But, CCS Medical DOES NOT provide insulin, only a delivery system. I can’t go without introducing insulin to my body. Rationing is NOT the answer. That lead me to contacting a consumer reporter. See this link: https://www.nbcnewyork.com/news/local/diabetic-man-worried-about-running-out-of-equipment_new-york/1990136/](https://www.nbcnewyork.com/news/local/diabetic-man-worried-about-running-out-of-equipment_new-york/1990136/)
I post that to show that you do have recourse to get what your doctor ordered even under Medicare and CCS Medical will try to use misinformation to maintain their profit margin. I’m sorry this was sooo long but I hate when organizations try to take advantage of the misinformed. Arm yourself with fact. You don’t have a lot of time as a T1 to debate treatment with a non doctor. Your very life depends on you being an advocate for yourself!!