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Author Topic: Pump warranties and insurance  (Read 470 times)

Offline Tamagno

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Pump warranties and insurance
« on: August 01, 2017, 02:13:48 AM »
I'm trying to switch pumps and am finding considerable issues with insurance coverage.

Basically, my insurance as well as most will only pay for a new pump every four years and Medicare every five. The only exceptions are for some change in medical conditions that require a change in manufacturer.

My current pump (Omnipod) is not covered by Medicare so when that becomes my sole insurer the various supplies won't be covered. I just got a new one last winter so I've got over three years left. My wife whose employer provides our commercial insurance is likely to retire before then so I've got a problem.

I'll be seeing my endocrinologist shortly in hopes of establishing medical necessity for a new pump. I should be able to do it as a result of my cancer, but there will be hoops to jump through.

Type 1s need to watch those warranties carefully as it could be easy to find yourself using MDIs if you find yourself similarly caught.

Offline skb

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Re: Pump warranties and insurance
« Reply #1 on: August 01, 2017, 07:32:24 PM »
Thanks for that information John. This only goes to show how T1 & T2 are different conditions with different issues. I hope you endo gives you whatever is necessary for the change in pump.
No meds since June 2011
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Blog : Metabolically Challenged

Offline Tamagno

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Re: Pump warranties and insurance
« Reply #2 on: August 03, 2017, 02:18:48 AM »
Problem solved.

I have a GREAT endocrinologist who I saw yesterday. He's writing a detailed letter plus calling Tandem to resolve any issues. Apparently he's had a number of patients with Omnipod problems and has done this before. Wow!

Offline Grammabear

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Re: Pump warranties and insurance
« Reply #3 on: August 03, 2017, 06:45:08 AM »
Wishing you the best of luck and I hope your Pod problems will soon be a thing of the past.
Type 1, April 2003
Dexcom CGM Sep 2007
Tslim pump Oct 2015
A1C 6.3% - Sept. 2018
"I've learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel."  ~Maya Angelou

Offline skb

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Re: Pump warranties and insurance
« Reply #4 on: August 03, 2017, 03:58:17 PM »
Problem solved.

I have a GREAT endocrinologist who I saw yesterday. He's writing a detailed letter plus calling Tandem to resolve any issues. Apparently he's had a number of patients with Omnipod problems and has done this before. Wow!

That's great news John. I wish everyone would find cooperative Drs like that all the time.
No meds since June 2011
Controlled by Diet & Exercise
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Blog : Metabolically Challenged