I'm having a maddening insurance problem -- aren't they all? -- with United Health Care and omnipods. I've been using the omnipod system for years, first with Aetna and then Blue Cross. But I switched to United Health Care, and generally speaking the insurance is very good. But they're -- at least initially -- refusing to cover the pods and I can't figure out what's up. I'm having to go through a third party, Edgepark at the moment, which is also new. I've always gone through Insulet. Edepark says they deal every day with UHC, so they don't understand what's happening.
The first request was rejected because there was no pump, just the pods. They didn't seem to understand the pods were the pump. Then an urgent appeal was created, but rejected. A standard appeal is underway, but I've run out of them long ago. I keep calling insulet and having to order them directly out of pocket. I keep thinking this will get worked out, but it's been months now.
Is anybody using United Health and the omnipod through a third party? I'm supposed to be getting them covered at 100 percent now that I've met my deductible. It was always a 70/30 or 80/20 split with BC/BS, which was fine with me. But now that my insurance is really good, and seems to cover them completely, I feel like I'm getting stonewalled. Calls from the endo, urgent appeals for Edgepark, getting the issue escalated through my HR department--none of it's worked. I'm about to make my third order directly to Insulet to keep me going. I just wish I could get some resolution.
Any tips greatly appreciated. Thanks!