Going for a pump & CGM

One Step at a Time
By One Step at a Time Latest Reply 2014-02-06 19:30:22 -0600
Started 2014-02-03 12:58:55 -0600

Has anyone applied for insurance to cover a pump and CGM? What type of records will I be asked to supply? I haven't been diabetic a year yet, but some things got to give. 6-10 shots a day with 10+ BG tests, lows and highs without warning…

4 replies

Hangin in
Hangin in 2014-02-06 19:30:22 -0600 Report

My Endo. submitted the paperwork for me. If your A1C is high and your BS is not improving based on your resent lab blood work, your insurance company SHOULD be on board. How much they will cover of course will vary from company to company. How long you have been diabetic and the amount of shots you take a day is not how insurance company's determine if they feel you will or they will benefit from you having a pump and CGM. It's about keeping your blood sugar in a safe range to minimize complications that cost insurance company's money. I have a pump and a CGM and love them both! But be patient in the beginning it takes time to get the hang of them I started out with the CGM first,I was less overwhelming for me that way. Good Luck to you. HANG IN THERE

One Step at a Time
One Step at a Time 2014-02-03 14:39:40 -0600 Report

Thanks! I saw on a blog that someone had to provide 2 years of BG readings. I thought that seemed ridiculous. Your post is much more reasonable.

Silicone eyes
Silicone eyes 2014-02-03 14:45:49 -0600 Report

In all honesty, they want to sell you that pump, it will take some work on your part, but we are capitalists, put your endo and chosen pump company to work for you.

Silicone eyes
Silicone eyes 2014-02-03 14:38:23 -0600 Report

I got just the pump and needed 30 days solid of 4X a day tests, a current Cpeptide test with a fasting below 200, which was a treat to stay below with DP, the big thing was endless appts with dietitan, CDE, pump classes. All that being said, it was worth it