:: DiabeticDamsel ::

Hit a speed bump in the ‘Dexcom Adventure’

I received a call from Edgepark (the company I have to go through who is ‘In Network’) and they reviewed my benefits with me and said that I was ready to go with ordering my CGM. The sales lady totaled up my device and 2 months worth of sensor and said “You total will be $1200 would you like to put this on your charge card?”, slightly taken back I asked “is there a payment plan?” like a poor man standing on a street corner with dirty feet. Come to find out that Edgepark collects upfront for all medical devices.

[Insert road block here]

Discouraged, I made a call into my Dexcom guy, Brian, and asked if he has any suggestions or $1200. He said Plan B would be to order it through Dexcom, which is ‘Out of Network’ and make 3 installments on the device and 2 months of supplies. So at least another door has opened but I’m starting to think this CGM business isn’t in the cards for me.

So I have a phone call to make to Brian tomorrow with a decision whether or not I’m going to go through with it….stay tuned and send $$$

My Dexcom adventure has begun..

So i filled out all of the paperwork to get my new CGM from Dexcom. I had an appointment with my Endo last week and was trying to get her to finally sign the medical necessity paper (which is pretty much a signature) and i heard today from my Dexcom sales guy, Brian, that they got the fax from her!!

I’m very excited that this process is starting to make progress and i can envision the UPS man pulling up with my CGM box in hand!!

I want socialized medicine!!

I recently came across a blog about this new CGM (Continuous Glucose Monitor) that takes a reading every 5 minutes! No more sticks & no more strips. So i proceeded to call United HealthCare to get the skinny on what they would cover. The first woman i spoke with obviously misunderstood me because she gladly informed my that is CGM system would be covered like a prescription and my copay would be $10/$30/$60. After that news, i went on the Dexcom site and printed out the paperwork i would need my physician to fill out and happily started populating it. UHC also told me to call Medco (the pharmacy that i would be getting the CGM from) to see how much it would cost and what tier the supplies out be on. That’s when the headache began. I called Medco to give them the production numbers and after i went through 2 customer care people, neither of them could pull up the device in their computer system. The last girl i spoke with offered to transfer me back to UHC to confirm that this CGM was going to be a prescription. Needless to say, it was all a big mess and its NOT a prescription, its a durable medical supply that my deductible will have to cover, which means i would have to pay for it.

UGH! Why is it when a person is trying to be and stay healthy and better themselves the act is shot down by a $1000 price tag!!!

In conclusion, I’ve stopped hating UHC for the time being and i will try again at the end of the year when I’m close to meeting my deductible and wont have to pay 100% for it.