I became eligible for Medicare on June 1, 2014. I use an insulin pump and had been receiving 4 boxes of 10 each infusion sets and reservoirs for my pump. Yesterday I heard from my pump reservoir and infusion set supplier (Medtronic) that they are shipping my refill order but Medicare will only permit them to send me 3 boxes of 10 infusion sets. They can still send me 4 boxes of the reservoirs. I usually change out my infusion set and reservoir every 3rd day but, there are times when an infusion set/reservoir needs to replaced earlier. Yesterday, in fact, I had changed my set and reservoir before breakfast, ate the same breakfast I have every morning, bolused for it and when I tested 2 hours later, my BG was 242. I bolused again and by lunchtime, it was 251! That meant that my insulin wasn't being received and absorbed properly, requiring a change of sets immediately. It doesn't happen often but has occurred 4 times in the past 6 months. With the 30 sets allowed for 90 days by Medicare, there is no wiggle-room for replacing sets that become occluded. Also, it is illogical to permit 4 boxes of reservoirs and only 3 boxes of infusion sets since they must be changed together. (The reservoirs cost $25 per box vs the infusion sets are around $100/box.) While the 3 boxes will just cover me for 90 days providing I have no problems whatsoever, per my experience, this is an unrealistic expectation. What I will probably do, is pay for an extra box on my own every now and then to have a back-up supply and ensure that I have the means to maintain control of my diabetes. This is another example of the penny-wise, pound-foolish approach to our healthcare.
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