what does your insurance cover?

By haoleboy Latest Reply 2014-05-10 00:51:53 -0500
Started 2014-04-28 23:53:39 -0500

Just curious, what does your insurance cover supply-wise?
Mine provides 100 lancets and 100 test strips every 3 months. If I was on insulin it would provide that amount monthly.


15 replies

gg777 2014-05-10 00:51:53 -0500 Report

I'm actually very lucky. With the insurance I purchased through ACA (affordable care act) and prior authorizations written by my doctor, I receive 200 test strips for 10.00. My insurance covers 80% of my medical supplies so my copays are next to nil for insulin and pump supplies. Before I was paying close to 700 per month just for insulin

Jan8 2014-05-02 11:29:21 -0500 Report

Everything I need. I have Medical Mutual . I just call the Super Well program and they send me anything except insulin and that I get for free at Walgreens.

harry1 2014-04-29 21:47:08 -0500 Report

My doc wrote it up that I have to test between 5-8 times a day so I could get strips that last me a month. I pay $6.35 copay.

haoleboy 2014-04-29 18:55:10 -0500 Report

Up until now I have been paying my own way. Thanks to The ACA (aka Obamacare) I am now getting a prescription for the lancets and strips … and a meter, all at no cost. Certainly not enough to cover as many time as I test but I'll take whatever help is offered. I will continue to use my ReliOn Prime meter with the $9 per 50 strips (thanks Walmart) and supplement with the "free" ones.

mercenarygrip 2014-05-04 20:35:59 -0500 Report

I am glad to hear that things changed for the better for someone because of the ACA. Unfortunately for me, things went in the opposite direction. Prior to the ACA, my insurance was paying for me to receive 150 test strips monthly, with a $5.00 copay. Now my insurance has changed, and I'm only allowed to get 100 test strips every 3 months, quite a difference. I check my blood 5 times daily, so the supply the insurance provides will only last 20 days. For the remainder of the 2+ months until my next prescription, I'm on my own.

Just Joyce
Just Joyce 2014-04-29 09:38:50 -0500 Report

I don't know yet, waiting for my obamacare to come through. The insurance I use to have covered it the same as yours so I paid out of pocket.

wraithmb 2014-04-29 09:04:32 -0500 Report

I'm lucky enough to live in canada, without coverage through work I would be on the hook for about the first 1500, after which 100% coverage would kick in for most medications except for my lantus insulin. That would only be covered if I was taking lows 3 or more times a week during the night.

My work coverage makes it so that I do not spend the 1500 per year to reach our provincial coverage. I spend less than 10 dollars a month for my supplies, which are covered as often as I need them, so long as I am using no more than directed. Both types of insulin are open ended prescriptions, as are my test strips.

I do pay for meters though, and for glucagon, so it's not perfect.

My doctor visits are covered by the federal government I believe, however I've never paid much attention to it, and I pretty much take it for granted. Endocrinologist visits are at the discretion of the doctor herself(currently every 4 - 6 months), and visits to the family doctor are the same.

Im0nGuard 2014-04-29 15:56:23 -0500 Report

I'm in Manitoba too(guessing by your name). Any meter in the pharmacy was free with the purchase of 100 test strips. I called Roche Canada regarding the cost of a second meter to keep at work, and they sent another one to me at no cost

wraithmb 2014-04-30 00:39:58 -0500 Report

Right on! Another Manitoban! I knew the winter didn't kill us all off lol. We should do coffee one day :-)

wraithmb 2014-04-29 18:13:37 -0500 Report

There are a lot of deals like that. I guess the real money is in the strips, not the machine. I had no such luck with my new one. The ibgstar isn't offered free with strips… Yet. I like it because it connects to my iphone which is always with me :-)

GabbyPA 2014-04-29 06:57:26 -0500 Report

I don't know yet. I have (well, will have once I make a payment) the new Obamacare. So I will let you know how that goes as I get into it. I am in search of a new doctor and maybe now I will be able to see an Endo. A $6000 deductible pretty much makes most things mute....but I "have" to have it.

Trudie Ann
Trudie Ann 2014-04-29 00:34:30 -0500 Report

Mine is offering a new meter free from a choice of 3, they pay most of my prescriptions, I pay 10% except name brand then I pay 25%. I can test 3 times a day being type 2. So that is all my ins. pays on. If I go over that I have to pay cost. My meds. are the same. They pay all but 10% on generic, and all but 25% name brands. Doctors my co-pay is 25$, except specialist is 35$ per visit. They pay 100% lab work up to so many per year, also ex-rays etc.

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