Omnipod

Elrond
By Elrond Latest Reply 2014-07-18 14:09:14 -0500
Started 2009-11-15 15:31:36 -0600

Does anybody here use the Omnipod system? My doctor wants to start me on a pump and I've been reading a lot about the Omnipod. Is it worth the added expense?


18 replies

Nomadwoman
Nomadwoman 2014-07-18 14:09:14 -0500 Report

I've been on the omnipod system for over 5yrs and was covered by my insurance. Now I am unemployed and on Medicaid and it is not covered. We are upset with our insurance companies, why isn't anyone upset with Omnipod for not making it affordable to people whose insurance will not cover it? Is it okay that the omnipod is not available to low income individuals. They will still make a profit!

Germaine
Germaine 2009-11-28 11:25:36 -0600 Report

my insurance wouldnt cover it, they said they were working on it. Does anyone know if medicare covers the omnipod now?

beingme84118
beingme84118 2009-11-19 21:27:57 -0600 Report

been on one for about 3 months, usually wear mine on my thigh. I like not having to take lantus and novolog shots all the time

dalgirl
dalgirl 2009-11-25 19:50:12 -0600 Report

I had to change insurance companies to get it paid for, and luckily, I was able to do so. I have only been using it for about 4 months, but I LOVE it. I used needles for 53 years even after pumps became available, as I didn't want to be "tethered" to something. I like wearing it on my upper arm the best. I love the freedom it gives me, plus the improved control.

Dalgirl

Elrond
Elrond 2009-11-25 23:24:04 -0600 Report

Wow! This actually eliminates the need for Lantus too? I currently take 24 units of Lantus plus a sliding scale of NovoLog before meals. That adds up to 4 injections per day plus the occasional correction when my bg gets out of whack. When you add in my 6 tests per day, that's a lot of needles.

JenDF
JenDF 2011-11-18 19:37:18 -0600 Report

I was just approved for this - found out today in fact - and yes, it completely removes the need for Lantus as well (I'm on 26 units + novolog correction before each meal, so we're pretty much in the same boat).
My insurance - TriCare - covers it 100%, as long as my Endo filled out the "medical necessity" form. Good luck!

k_yeoman
k_yeoman 2009-11-18 10:39:08 -0600 Report

My insurance did not cover it either. Would have loved to have gotten one but could not afford to do it without insurance. I am currently not on a pump. I refuse to use a regular pump, do not want to be tied to a device. I do a lot of water sports and would end up with the device being off my body as much as it is on. Hoping insurance will pull their heads out and start paying for these.

GiGiB
GiGiB 2009-11-18 11:04:53 -0600 Report

Hi
Did the insurance company give you a reason they would not cover it? I just went thru this with military health care out West. They denied me my pump supplies stating that OmniPod was a luxury item! HAH!! I overturned the policy by writing to my Senator and Congressman - there is a Diabetic Caucus in existence that has members in each State. Unfortunately, this requires a lot of hard work on your part but the results (like the ones I have gotten) are great - I not only helped myself but other dependents stationed out West who are diabetic. I have the list of members by State if u are interested.

GiGi

Elrond
Elrond 2009-11-18 13:52:02 -0600 Report

Unfortunately, all my health care is provided by the VA. If I get an Omnipod, I'll probably have to pay for it myself. The company is vary cagy about quoting the price in their advertising but I suspect it will be far more than I can afford.

GiGiB
GiGiB 2009-11-18 14:12:00 -0600 Report

I sent a copy of what was going on to the Dept of Veteran's Affairs and Congressman Skelton was very much interested in the the denial Tricare/TriWest was making. Like I said, it's a bit of work but a change can be made.

GiGi

Zimoss
Zimoss 2010-01-16 13:06:13 -0600 Report

actually it might be surprisingly cheaper than you think.

I think the highest cost is the meter/ pda which I beliebe runs around $600, but is a 1 time expense…the pods themselves are around $300/per 90 day supply.

Nomadwoman
Nomadwoman 2014-07-18 14:03:56 -0500 Report

A box of 10 pod/1month supply is $300. Maybe $300 with your copay. But if your insurance will not cover it, it will cost $299.00 per month.

Sue Turner
Sue Turner 2009-11-18 14:45:01 -0600 Report

Hi GiGi,

A "Luxury Item!" That is so ridiculas. I'll bet they wouldn't think that it was a luxury item, if it were they who were needing it, huh! I am sure that everyone you helped with all of your hard work appreciates it, and thanks you.

Good work, and good for you!

Sue T.

GiGiB
GiGiB 2009-11-18 14:50:07 -0600 Report

Thanks Sue! I felt the same way! How can a life saving device being considered luxury. Of course they were using a 1982 section of the manual!!

Cheers!
GiGi

GiGiB
GiGiB 2009-11-16 17:18:13 -0600 Report

Hi!
I have been on it 3 years as well and love it!! They have upgraded the hand held pdm and it is thinner and with a bigger screen. You will be happy with it and the support from the Insulet Corp/OmniPod is great.

GiGi :0)

Harlen
Harlen 2009-11-15 17:59:52 -0600 Report

For me no ins will not cover it
I would have liked to have it.
I got the medtronic 722 and I love it
the pump is a life saver
Best wishes
Harlen

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