There is a time when it is very difficult for a Type 2 to get a pump…when on Medicare. My Animas pump went out of warranty, no problem as my insurance will cover a pump, even for Type 2, if doctor prescribes it. The problem is that a Medicare denial is needed, simple denial means that my secondary (not supplemental) will cover the cost of pump. But to get a Medicare denial, the pump distributor needs to make a claim to Medicare. However, they will not make a claim to Medicare for anyone who would be denied by Medicare…catch 22.
I was near hysteria as my Animas had begun to malfunction on occasion. I was saved by a ‘bad’ result of C-peptide test. As I not insulin resistant, but have a pancreas not making much insulin, my test result was low enough for Medicare coverage. I was lucky, but most Type 2s don’t have a low C-peptide as they are making a lot of insulin to cover for the insulin resistance. This really presents a problem for pump-using Type 2s who use a pump but go on Medicare.
At any rate, hope I have explained it.
