Subscribe Now

* You will receive the latest news and updates on your favorite celebrities!

Trending News

T1D Exchange T1D Exchange T1D Exchange
  • Activity
    • 1 hour, 28 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Being on Medicare and required to see my Endo. every three months, my next appointment is made prior to departure from my Endo's office.
    • 1 hour, 28 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      If I were not on Medicare, it would be difficult to get an appointment within 3 months, even in an emergency. In an emergency, they would assign me a nurse practitioner to see. It is possible to contact them through their "portal." Whether I get a timely response depends on whether there is a reliable nurse to respond.
    • 1 hour, 43 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      When I saw my endo a year ago, I wasn't able to make an appointment 6 months later because all available appointments were fully booked. I have to see her CDE who has more availability in order to meet Medicare requirements for quarterly visits. Many, many healthcare providers in my area burned out and quit during Covid. I injured my knee badly last June and can't get a consult with an orthopedic surgeon until May due to the backlog of people needing help. I'm on crutches until then. My sports medicine doctor stopped practicing medicine last month. Our healthcare system is in crisis with no solution in sight.
    • 1 hour, 45 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      On hold or actually talking about the issue and calling back to ensure someone follow's up as everyone seems to be over their head. Honestly, it varies. It can take considerable time just to raise the visibility of an issue, then the follow up can take weeks/months and patience to resolve. Another problem is patients without the cognitive skills for follow-up. These days i doubt anyone pays attention to them.
    • 4 hours, 5 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I try to make my appointment for my next appointment when I check out. The scheduler always asks maki g it easier to remember. If I was to forget there would be a wait to get back int the rotation.
    • 11 hours, 14 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Before the onslaught of Type 2 Diabetes, I, as a T1D, could get an appointment almost anytime I needed one. Now, I cannot get an appointment within 3 months, which is the time within I must see rhe doctor for Medicare benefits. My doctor cancelled 2 (half ) of my sppointments last year. Caused ma a lot of problems. I live in Florida, a place where modern medicine does not seem to have reached yet.
    • 11 hours, 14 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I routinely see my Endo every three months. At the end of my appointment I schedule the next quarterly meeting date. But if I ever have to reschedule it, then it takes anywhere from two to four weeks to find a time that works for us.
    • 13 hours, 11 minutes ago
      Mike S likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      It all depends on the urgency of my needs. I’ve gotten in the next day before, but those days may be gone! It also depends on who I see. But these days, even the PA is often booked. Of course, cancellations happen, so that can be a factor as well.
    • 13 hours, 27 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 1 day ago
      Gerald Oefelein likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of the 3-4 hours is way ting on a phone
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 5 hours ago
      Wanacure likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      The resources I use in managing my glucose levels once sick is my own personal experience after living with t1d for 46 years
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ā€˜delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 1 day, 5 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I’m a reasonably satisfied MDI user with Lantus and Fiasp. I’ve looked into getting a pump but honestly, until I find one that does everything I want, I’ll probably hold off. My wish list for a pump: 1) no tubes 2) works well with Fiasp 3) controls that allow me to stay at my target of 70-90 mg/dl all night long.
    • 1 day, 6 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      MDI for the past 60 years and do not see any alternative that I would prefer. The needles for my pens are so thin and sharp that they are painless (a far cry from the lancets I once used). chiefly, I am glad not to have to deal with setting up a pump and. Although I love my libre, I am not good candidate for having devices affixed to me. If my insulin delivery got interrupted they way i have interrupted my cgm service, I would have been in trouble. Furthermore, I have a track record of having both mechanicall and electronic things malfunction. (Seriously, I sometimes act as a beta-tester for technology folks. Maybe I push to many buttons?)
    • 1 day, 6 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I've had Tandem x2 and Dexcom since September. Previously on Medtronic for around 15 years. Grew to HATE the sensors and switched before the warranty on my last Medtronic was up. So far, I absolutely LOVE the Tandem and the Dexcom. I'm disappointed, however, in the amount of waste and plastic that this pair creates. Of course there will always be plastic waste from any pumps/sensors, but the amount of non-reusable stuff for insertions is ghastly.
    • 1 day, 6 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      Have your doctor prescribe the syringes with .5 unit increments instead of the 1 unit syringes. Not quite a .1 unit which you are hoping for, but .5 is better than 1 unit increments.
    • 1 day, 7 hours ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    Clear All
Pages
    • T1D Exchange T1D Exchange T1D Exchange
    • Articles
    • Community
      • About
      • Insights
      • Submit a Question
      • Donate
      • Join the Community
    • Quality Improvement
      • About
      • Collaborative
      • Leadership
      • Committees
      • Clinics
      • Portal
      • HEAL
        • Heal Advisors
      • Join Us
    • Registry
      • About
      • Recruit for the Registry
    • Research
      • About
      • Publications
      • COVID-19 Research
      • Work with us
    • Partners
      • About
      • Previous Work
      • Academic Partnerships
      • Industry Partnerships
    • About
      • Team
      • Board of Directors
      • Culture & Careers
    • Join / Login
    • Donate

    Does your health insurance offer benefits or cover services that meet your needs?

    Home > LC Polls > Does your health insurance offer benefits or cover services that meet your needs?
    Previous

    If you use an insulin pump or CGM, how does your summer wardrobe impact where you insert your pump or CGM? Select all that apply.

    Next

    Has a stranger ever approached you to talk about your visible diabetes device(s)?

    Sarah Howard

    Related Stories

    Medications

    Our Experience: Taking GLP-1 Medications Like Ozempic & Trulicity with Type 1 Diabetes 

    Ginger Vieira, 2 days ago 15 min read  
    Questions of the Day

    Do You Ever Change Your Lancet? 

    Samantha Robinson, 3 days ago 4 min read  
    Devices & Technology

    Tidepool Loop FDA Clearance: Chatting with CEO Howard Look 

    Ginger Vieira, 4 days ago 7 min read  
    Insulin

    Mark Cuban’s Cost Plus Drugs Tests New Insulin Program 

    Ginger Vieira, 2 weeks ago 4 min read  
    Devices & Technology

    Connected Insulin Delivery Devices 

    Hope Warshaw, 2 weeks ago 7 min read  
    Devices & Technology

    Automated Insulin Delivery Systems 

    Hope Warshaw, 2 weeks ago 11 min read  

    37 Comments

    1. Steve Rumble

      My insurance covers my needs, but not my desires. CGMs and pumps are not considered medical necessities, finger pricks and MDI meet my needs, so they are not covered.

      2
      7 months ago Log in to Reply
    2. LizB

      My insurance technically covers all pumps, but not really. I can get Medtronic infusion sets or sensors or a new transmitter for a special $30 diabetes co-pay. But that diabetes category somehow only includes Medtronic. Everything else has to meet a $2,000 deductible and then 30% of the full price after the deductible is met. I don’t see why Dexcom is considered to be anything other than “diabetes” supplies and has different rules than Medtronic. I can’t afford it so I have to stay with Medtronic. Anything not on the pharmacy formulary’s preferred drug list (preferred is basically cheap generic drugs) is pretty much full price. Humalog and Lantus are the preferred insulins and while Humalog works for me, if I have to go back to MDI I’ll end up having seizures again. Lantus is just barely one step better than NPH for me. They only cover One Touch strips and I hate them after using the Contour Next for over 3 years.
      I know I should be grateful that I can get a pump & supplies and insulin at an affordable price. The crappy test strips are still expensive on my plan.

      1
      7 months ago Log in to Reply
    3. Gustavo Avitabile

      I live in Italy. Our NHS National Health System fully covers all diabetes drugs and devices.

      3
      7 months ago Log in to Reply
      1. Patricia Dalrymple

        What about preexisting conditions?

        7 months ago Log in to Reply
    4. Mary Dexter

      Begrudgingly

      7 months ago Log in to Reply
    5. Merry Woolsey

      It covers MOST labs and my scripts are only $25/month. BUT I can’t get a CGM covered YET. It has been in past with a co-pay of around $100/month. I am 57 yo and I have Tricare Humana military.

      7 months ago Log in to Reply
    6. Larry Martin

      Now that I am on Medicare with a Supplement, NOT PART C, I pay only $233 a year. When I was on the ACA my deductible was very high but DME was not part of the deductible but was only a discounted price and a percent of that. The Pump itself was subject to the decuctible (fancy that) so I had to pay $4000 for it in 2020. They did allow no interest financing for 6 months. My Medicare premiums are probably higher than most buy an extra $140 a month more than pays for the $1,000s every 3 months for supplies and a pump every 4 years so I am finally happy. I also pay nothing for insulin and test strips.

      7 months ago Log in to Reply
    7. GLORIA MILLER

      As with Steve Rumble, my Federal BCBS meets my needs but not my desires. I have an Omnipod and Libre but I want the Omnipod 5 and Dexcom G7 (when the FDA gives approval) but my insurance says no. Eventually they will agree but it is frustrating to having to wait for something that will help prevent so many lows that I experience after 65 yeas T1.

      1
      7 months ago Log in to Reply
      1. ELYSSE HELLER

        What is going on with the Blue Cross/Blue Shield FEP program, which I also have. I never had problems with this insurance but now it seems as if we need prior authorizations for everything. I have been fighting with my doctor and the insurance company for months now. I agree, it is very frustrating. Are you on the Liveongo program? FEP BLUE sends you the meter and strips at absolutely no cost. I plan to keep fighting them until they agree to cover the Omnipod 5. This is not exactly how I planned to spend my retirement years.

        1
        7 months ago Log in to Reply
    8. Mick Martin

      I live in the United Kingdom of Great Britain and Northern Ireland (UK), where our NHS (National Health System, which is financed via direct taxation of all working people) fully covers all diabetes drugs and devices.

      2
      7 months ago Log in to Reply
      1. ELYSSE HELLER

        I wish that we had National Health Insurance in the USA. The argument against socialized health care that I always hear is “you will never be able to get an appointment under socialized health care”. Well, I decided to switch endocrinologists in May because my doc is not filling out the prior approval needed for my insurance company to cover Omnipod 5. The earliest appointment that I could get was October 19. That argument has never held any water.

        1
        7 months ago Log in to Reply
      2. Patricia Dalrymple

        So preexisting conditions are covered unlike Ontario Canada?

        7 months ago Log in to Reply
    9. Meghan Larson

      Needs, yes. Wants, no. Restricted to certain pump, insulins, etc.

      2
      7 months ago Log in to Reply
    10. Daniel Bestvater

      I do not have any insurance for medication or diabetic supplies. With a pre-existing condition I can not get coverage in Ontario Canada.

      7 months ago Log in to Reply
      1. Patricia Dalrymple

        You are the first with socialized medicine that says coverage isn’t there due to preexisting condition. One for Obamacare in the U. S. I was always fearful before that of losing my job.

        7 months ago Log in to Reply
      2. AnitaS

        Wow, I thought that diabetes supplies are covered with the universal coverage in Canada.

        7 months ago Log in to Reply
      3. Teri Morris

        I hear you. I built a house, but can’t get it insured as a diabetic. Ontario can sometimes not even be comprehended.
        If, for any reason, I lose my home, I will not be able to survive.

        7 months ago Log in to Reply
    11. Marty

      Medicare Part B + supplement covers 100% of my pump and CGM costs, including insulin, but I am restricted to the one kind of insulin (Lispro) offered by the only feasible Medicare part B supplier. I’d love to try Affreza, but it’s not covered. I lost vision and dental coverage, of course, when I went from my employer’s PPO insurance to Medicare.

      1
      7 months ago Log in to Reply
    12. Joan Fray

      So far, my needs and my coverage are met by Kaiser California. I don{t even know if I should want anything else. I do pay 20% on the Dexcom equipment, and the TƔndem pump, but strips are fully paid for. I dont test with strips as much as I should, but I do ok.

      7 months ago Log in to Reply
    13. Christina Trudo

      I get what I need on Medicare, but in order to get the coverage I need my combined costs (Medicare, supplement, and drug plan) cost more than most any employer plan I’ve had, and for less coverage. This is not the time of life to have to be dealing with this stuff. I guess I can consider that I have just been quite lucky during my employed years.

      7 months ago Log in to Reply
    14. gary rind

      my PBM is the bigger problem. kicking me off FIASP so will be trying Lyumjev later this month. we’ll see what happens.

      1
      7 months ago Log in to Reply
    15. Moe Giguere

      I rate Kaiser an Always. They do a great job. Pay 100% on Dexcom, Cpap, and reasonable copayments on everything else. All health info integrated in one place. Doctors easy to talk to (email). Pharmacy pick up or mail order off your phone. Great web site with tests results readily available.

      7 months ago Log in to Reply
      1. cynthia jaworski

        this contrasts with what I hear from others. A friend who has had t1 for 50 years has not been given access to an endocrinologist since he is “doing just fine” without it. Thw same response when a cgm was asked for: “your A1c is good without it.” I guess alot depends on the individual Kaiser office4, and perhaps the aggressiveness or persuasiveness of the patient?

        2
        7 months ago Log in to Reply
    16. cynthia jaworski

      there are some services that are continually being offered that I would prefer not be pushed so strongly. Everybody wants to coach me. For a while I would get a monthly call in which I was asked what I am doing to improve my a1c. My answer is that I will continue doing what I am currently doing since it is working pretty well. Do I have a “game plan” from my doctor? Good grief!

      7 months ago Log in to Reply
    17. Brian Vodehnal

      I would think they would pay 100% for CGMs…it’s preventative and helps keep costs down for treatment of issues related to blood sugar management.

      1
      7 months ago Log in to Reply
    18. Janis Senungetuk

      Right now, yes, but things keep changing with the percent of coverage along with formulary changes. When my spouse retires soon it’ll be a totally different story.

      1
      7 months ago Log in to Reply
    19. Karen Mason

      So far good. Medicare/supplement, but that could change.

      7 months ago Log in to Reply
    20. PamK

      I had great insurance through my spouse’s employer for years which covered everything. Unfortunately, the business closed due to COVID and we had to find insurance as we were both out of work. We chose a plan on the government marketplace that listed my CGM/Pump as covered with a Prior Auth. So, I thought I would be able to get them, but would possibly pay a little more.
      Well, so far they are not covering either one. Several attempts have been made to get authorization, but they keep denying coverage.
      I don’t want to switch to a new pump or CGM because I have tried the other two pumps that are currently available here in the US, and I did not have good control with either one. I’ve also tried one of the other CGMs and it did not work well for me. There are two other CGMs on the market, but I don’t know if they are covered. I do know that they will not pair with my pump. So, I am very disappointed with this new plan and hoping that one of us can find full time work with benefits. For now, I am having to pay out of pocket for my supplies, which is costly.

      7 months ago Log in to Reply
    21. Ahh Life

      Dental coverage and health insurance are like two ships passing in the night – neither one really sees the other.

      I have supplemental dental insurance. Costs an arm and a leg and covers oh, about a fingernail or two. What about the 32 chompers? I kinda would like some decent treatment of them too. ĀÆ\_( Ķ ā›ā€Æą·“ Ķ”ā›)_/ĀÆ

      3
      7 months ago Log in to Reply
    22. KarenM6

      They are stingy with the delivery of CGM supplies. They also don’t cover any new technologies. They also require a huge (imo) deductible, so I practically pay for insurance and supplies half of the year. While I realize that I receive way more benefits and care than many people (especially compared to countries where it’s hard to get and keep insulin let alone the fancy tech), it is still annoying that things like AID technologies aren’t covered. You’d think they’d jump on it considering how well they appear to work!
      Also, the level of approval and waiting for approvals does not meet my needs.
      Nor does taking medications (that I’ve been on for years) off their formularies when the “substitute” really does not work as well.
      It REALLY doesn’t meet my needs for my insurance to act like my doctor.

      1
      7 months ago Log in to Reply
    23. Russell Buckbee

      The major thing they miss are BG test strips as they claim that I don’t need them since I’m on a CGM. (Right how do I calibrate it?)

      2
      7 months ago Log in to Reply
    24. AnitaS

      I was always happy with my medical coverage for diabetes medical supplies until I applied to get afrezza. Sadly they don’t cover that.

      7 months ago Log in to Reply
    25. Teri Morris

      Not the current health insurance through work. The company they used to use covered CGMs, but Green Shield does not, and will not, so I can’t afford to spend $100 every 12 days for a treatment that they have deemed is not “essential”.

      1
      7 months ago Log in to Reply
    26. Lawrence S.

      Most of my diabetes supplies are covered, after I pay the Medicare deductible. Other services are hit or miss. It seems that I’m either paying deductibles or large copayments. Sometimes I get rejection notices that “this service is not covered.” Overall, I am NOT satisfied with the quality of my health insurance. I purchase my own dental and vision insurances. The dental is expensive, and I seem to have a lot of deductibles and copayments there, as well.

      7 months ago Log in to Reply
    27. Steven Gill

      My insurance provides good coverage but there is a sizeable deductible. My CGM and pump copay could be a new car but I’m fortunate to be healthy and have a job. And yes competing against kids have made me consider a less physically demanding adventure but now’s not a time to risk anything.

      7 months ago Log in to Reply
    28. Carol Meares

      Reading through the comments, I fall somewhere in the middle or better in my insurance coverage. I can’t get Afrezza and preauthorizations are becoming much more common practice making access to helpful meds more difficult and time consuming. Access to physicians will become more difficult for me as my endo and general practitioner will both be retiring. I don’t know if our community will get another endo to replace him. Off subject but that’s what’s on my mind. We need more doctors and nurses. And we need universal healthcare to make health options more equal to American citizens.

      1
      7 months ago Log in to Reply
    29. Cheryl Seibert

      I marked “usually” because when I retired, I lost group dental and vision coverage, but not major medical. Because of T1D, the majority of my eye services are covered through major medical. HOWEVER, the refraction is not covered even though I have individual vision insurance. This is due to private insurance companies not using Coordination of Benefits with my major medical insurance. Its the same with my private dental insurance as well. The dentist does not participate in networks for private companies. So I pay a dental premium, but they only cover about half of a dental cleaning.

      7 months ago Log in to Reply

    Does your health insurance offer benefits or cover services that meet your needs? Cancel reply

    You must be logged in to post a comment.

    This site uses Akismet to reduce spam. Learn how your comment data is processed.




    11 Avenue de Lafayette
    Boston, MA 02111
    Phone: 617-892-6100
    Email: admin@t1dexchange.org

    Privacy Policy

    Terms of Use

    Follow Us

    • facebook
    • twitter
    • linkedin
    • instagram

    Ā© 2022 T1D Exchange.
    All Rights Reserved.

    Ā© 2022 T1D Exchange. All Rights Reserved.
    • Login
    • Register

    Forgot Password

    Registration confirmation will be emailed to you.

    Skip Next Finish

    Account successfully created.

    Please check your inbox and verify your email in the next 24 hours.

    Your Account Type

    Please select all that apply.

    I have type 1 diabetes

    I'm a parent/guardian of a person with type 1 diabetes

    I'm interested in the diabetes community or industry

    Select Topics

    We will customize your stories feed based on what you select here.

    2019 Publications

    0 Stories Related

    2020 ADA

    9 Stories Related

    2020 ADCES

    0 Stories Related

    2020 ATTD

    0 Stories Related

    2020 EASD

    0 Stories Related

    2020 ISPAD

    6 Stories Related

    2020 Publications

    0 Stories Related

    2021 ADA

    11 Stories Related

    2021 ADCES

    0 Stories Related

    2021 ATTD

    4 Stories Related

    2021 ISPAD

    8 Stories Related

    2021 Publications

    22 Stories Related

    2022 ADA

    11 Stories Related

    2022 ADCES

    4 Stories Related

    2022 ATTD

    10 Stories Related

    2022 ISPAD

    0 Stories Related

    ADA

    5 Stories Related

    ADCES

    0 Stories Related

    Adult

    0 Stories Related

    Adults & T1D

    38 Stories Related

    Advocacy

    11 Stories Related

    ATTD

    10 Stories Related

    Blood Sugar

    2 Stories Related

    Blood sugar management

    29 Stories Related

    Challenges & Complications

    30 Stories Related

    Continuous Glucose Monitor

    6 Stories Related

    COVID-19

    18 Stories Related

    Devices & Technology

    29 Stories Related

    DiabeteSpeaks

    20 Stories Related

    EASD

    0 Stories Related

    En EspaƱol

    0 Stories Related

    Exercise

    3 Stories Related

    General Publications

    74 Stories Related

    Get Involved

    39 Stories Related

    Glu Guide

    9 Stories Related

    Glu Insights

    16 Stories Related

    Health Equity

    0 Stories Related

    Healthcare & Insurance

    11 Stories Related

    Hypoglycemia

    4 Stories Related

    In Depth

    1 Stories Related

    Inspiration & Advocacy

    24 Stories Related

    Insulin

    6 Stories Related

    Insulin & Meds

    0 Stories Related

    Insulins & Non-insulins

    11 Stories Related

    ISPAD

    0 Stories Related

    Journal of Diabetes

    21 Stories Related

    Learning Session

    0 Stories Related

    Medications

    2 Stories Related

    Meet the Expert

    9 Stories Related

    Mental Health

    9 Stories Related

    New & Newsworthy

    52 Stories Related

    News

    26 Stories Related

    Nutrition & Exercise

    4 Stories Related

    Other

    0 Stories Related

    Our team

    32 Stories Related

    Parenting & Families

    3 Stories Related

    Partner Content

    10 Stories Related

    Pediatric

    0 Stories Related

    Personal Stories

    16 Stories Related

    Press Release

    6 Stories Related

    Prevention

    11 Stories Related

    Questions of the Day

    18 Stories Related

    Research & Studies

    54 Stories Related

    Review

    0 Stories Related

    T1D Exchange & Glu

    16 Stories Related

    T1D Exchange News

    5 Stories Related

    Tech

    25 Stories Related

    Test Category

    0 Stories Related

    Therapies & Management

    0 Stories Related

    Type 1 Diabetes

    0 Stories Related

    Type 2 Diabetes

    0 Stories Related

    Uncategorized

    43 Stories Related

    You Told Glu

    1 Stories Related

    We're preparing your personalized page.

    This will only take a second...

    Search and filter

    • Clear All
    • Sort By

    • Select Category