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    • 2 hours, 36 minutes ago
      Daniel Bestvater likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 12 hours, 9 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      I oftentimes give myself a little insulin for when I go unplugged while changing pods, depending on what my current sensor reading is.
    • 12 hours, 10 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Always, until I began to increase the "cannula fill" amount. I found I need a good bit more than the (1.3u) to "prime the site" to have the next blood sugars be in goal. Just remember "every body is different". Darn than OmniPod does not let you change that amount, have to use "fake carbs". Something to consider.....
    • 12 hours, 10 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 12 hours, 11 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 16 hours, 26 minutes ago
      KSannie likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      **cannula
    • 22 hours, 44 minutes ago
      Kathleen Juzenas likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I find a using the T-Connect app I have the main features needed, CMG, bolus, battery level and remaining insulin.
    • 1 day, 2 hours ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 1 day, 2 hours ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Mostly pump because I want to quickly see insulin on board. Tandem on IPhone when holding my great-niece while she sleeps since getting my pump out of my pocket always wakes her ☺️. Dexcom app if not in need of insulin.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      usually the pump; sometimes my phone.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump (Tandem X2). Since I have to carry a work phone close to 247, I don't want to deal with two phones (device overload!). As I go about my day, looking at my pump meets my needs, I can decide to bolus etc - and edit the bolus. For more in depth data review and analysis, I use the TConnect.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I read it from my pump.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      On my insulin pump
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump. Keep it simple.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      How much of this is intentionally misleading? My mail order prescription service says that can’t possibly know the cost of a medication until after it’s been shipped, which is too late to cancel or return, of course, and makes it impossible to comparison shop.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 2 days ago
      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump
    • 2 days, 1 hour ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      One nice thing about a watch for readings is that, while it is normally redundant, you can be separated from your phone. For example, when you are in water.
    • 2 days, 1 hour ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 2 days, 2 hours ago
      Kathy Hanavan likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 2 days, 2 hours ago
      John Barbuto likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 2 days, 3 hours ago
      Gerald Oefelein likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
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    If you have met your health insurance prescription deductible for the year, how much is your co-pay for one month’s supply of insulin?

    Home > LC Polls > If you have met your health insurance prescription deductible for the year, how much is your co-pay for one month’s supply of insulin?
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    How many times in 2021 did you have an appointment with your main T1D health care provider?

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    Does your health insurance deductible reset on January 1st?

    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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    " At T1D Exchange, we’re proud to announce our Medical and Research Advisory Team — an accomplished group of leaders in endocrinology, research, and quality improvement. Together, they are redefining what’s possible in type 1 diabetes (T1D) care through rigorous data analysis, innovative research approaches, and real-world implementation. Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. Collectively, they have authored over 500 diabetes publications and secured research funding from organizations such as the National Institutes of Health, Helmsley Charitable Trust, the American Diabetes Association, and Breakthrough T1D — while remaining actively engaged in both clinical care and research.  “These individuals represent an impressive body of work while remaining deeply involved in the day-to-day realities of diabetes care,” said Walton. Their expertise covers the full spectrum of T1D care — from AI and predictive analytics to complication prevention, automated insulin delivery, continuous glucose and ketone monitoring, GLP-1 treatments, health equity, mental health, autoantibody screening, and disease prevention.    Turning insight into impact  The team’s work goes beyond research, focusing on translating insights into real-world practice. By leveraging data to scale best practices, the goal is to drive meaningful, measurable change across clinics and communities.  “Our advisors will help to extend our impact — whether through QI strategy, research innovation, funding opportunities, or new data-driven solutions,” said Walton. “We want to take what’s working at individual centers and spread that as broadly as possible.”   He added, “As a Collaborative, we’re also focused on advanced population health strategies such as exploring predictive data models to identify risks earlier and intervene before complications even begin to happen.”    The power of the T1D Exchange Quality Improvement Collaborative  Central to this work is the T1D Exchange Quality Improvement Collaborative (T1DX-QI) — a nationwide network of clinics working together to improve care through shared data, benchmarking, and evidence-based practices.  “I’m thrilled to serve as a Medical Advisor for T1D Exchange, because I’ve seen firsthand the impact this network can have on patient care,” said Dr. Nestoras Mathioudakis. “T1D Exchange is the premier organization for quality improvement in type 1 diabetes, with unparalleled assets like a large EHR database and robust patient registry.”  He added that he is excited to apply his expertise in EHR research and big data analytics to generate real-world evidence across diagnosis, management, and outcomes.  Dr. Viral Shah echoed that perspective, reflecting on T1DX-QI's evolution: “I have been involved with T1D Exchange since its early days and have had the privilege of witnessing how it has transformed the quality of diabetes care across the United States. I’m delighted to return as a Medical Advisor.”  He emphasized the importance of accelerating impact. “I look forward to working closely with the team to accelerate the evidence generation and to help translate these insights to improve patient care.”   Dr. Jenise Wong highlighted the visible impact of T1DX-QI on the delivery of care. "I’m truly honored and grateful to be working with T1D Exchange as a Medical Advisor. T1DX-QI is a remarkable resource for centers that are using continuous process improvement to improve the quality of care for people living with diabetes.”  “Diabetes centers working with T1DX –QI have done amazing work using QI methodology to make care accessible and equitable for all people with diabetes,” she said. “It’s inspiring to be a part of a collaborative in which centers have been creative and thoughtful with initiatives to address individual and systemic challenges to care, improving clinical outcomes as well as the patient experience."  Looking ahead, Dr. Sherr highlighted the opportunity to build on the existing strong foundation. “I’m very excited to be working as a Medical Advisor for T1D Exchange,” she said. “It’s a privilege to help shape what comes next for a group that’s already doing such impactful work.”  “Sharing what’s happening in clinical practice, benchmarking across centers, and understanding outcomes is how we figure out what’s working, what’s not, and where we go next,” she said.      The future of T1D care   With this team’s vision and expertise, T1D Exchange is positioned to accelerate progress in T1D care — bridging research and real-world practice to drive meaningful, measurable impact.  Together, we look forward to advancing innovation and improving outcomes for everyone affected by type 1 diabetes.   "

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    41 Comments

    1. Donna Condi

      I am on Medicare so Walgreens sends my insulin through as durable medical equipment so I pay nothing for it.

      1
      4 years ago Log in to Reply
      1. Wanacure

        Donna, congratulation!

        4 years ago Log in to Reply
    2. Ahh Life

      I am on medicare. My CVS out of pocket expense is $108.33 monthly for DME insulin. I have seen the cost vary by state, by county, by month, by day, and yes, by the hour while the pharmacist stayed on the phone. It’s like being in front of a fun-house mirror. Only it isn’t funny.

      5
      4 years ago Log in to Reply
      1. Wanacure

        Wow! Congratulations.

        4 years ago Log in to Reply
      2. Wanacure

        Ahh Life, thanks for explaining our chaotic American health care situation. 🙂

        4 years ago Log in to Reply
    3. Kathleen Juzenas

      I have met my deductible but insulin is fully covered by Medicare Part B since I use an insulin pump.

      1
      4 years ago Log in to Reply
    4. Joan McGinnis

      I do not have a prescription deductible but on Medicare advantage plan. I am now in catastrophic coverage after being in and out of donut hole so for the last 3 mo prescription I paid $27 ? A tiny fraction of what I pay normally I have never been in catastrophic before but in sulking always gets me in the donut hole. So I switched this yr to a plan that will offer $30 per month max for insulin

      4 years ago Log in to Reply
    5. Larry Martin

      Insulin it Tier 2 for me so I have no deductible but I do have to pay $15 for a 3 month supply.

      4 years ago Log in to Reply
    6. Jim Cobbe

      $200, because i use Fiasp and Tresiba both of which are not my Medicare Advantage’s preferred insulins, but which are definitely better for my control.

      1
      4 years ago Log in to Reply
      1. TEH

        There was only one advantage plan that covered my insulin. For that reason I went with a gap plan. With that I pay $28/vial. I hope you looked for other plans.

        1
        4 years ago Log in to Reply
    7. Dave Barden

      I thought Medicare part B was covered 80%. And we pay 20% unless we have a medigap policy as well

      I pay $0 for insulin because it’s tier6 in my $600/yr part D policy

      4 years ago Log in to Reply
    8. Kristine Warmecke

      I have no deductible on my Medicare Advantage plan, so until I meet my out of pocket maximum my Novolog is $800+ for a 3 month supply. Once that is met it cost me nothing. The plan pays 20% only because I’m allergic to the preferred brand.
      Since I can’t afford that on my fixed income, I ration my insulin.

      4 years ago Log in to Reply
      1. AnitaS

        So sorry you have to ration. Nobody should have to do that.

        4 years ago Log in to Reply
      2. Wanacure

        Larry, what state do you live in? I’m envious.

        4 years ago Log in to Reply
      3. Wanacure

        Kristine, being forced into rationing is outrageous.

        4 years ago Log in to Reply
    9. Lawrence S.

      I get my Novolog insulin with 90 day prescriptions. I pay $55 each 90 days. This site says my answer was $20-$30 per month, but I clicked on $10-$20 per month. Something must have changed when I clicked “submit.”

      4 years ago Log in to Reply
    10. Mark Schweim

      My annual deductible only applies towards DME prescription items and Doctor visits, but it’s only a $750 annual deductible. I think pharmacy coverage is changing next year so no idea if prices will be the same as this year or not. In 2021, ALL my pharmacy Benefits covered prescriptions came at $0 co-pay except for two non-Diabetes related medications that carried a co-pay of $2 – $6. But the only Pharmacy Benefits covered Diabetes related item that has had a co-pay was my infusion sets that CVS Caremark mail-order pharmacy insisted they didn’t have and couldn’t get until I had them do a search on their computer for them and they said they thought the computer was wrong since they couldn’t get any Insulin Pump supplies, but they’ve been able to send my infusion sets as a pharmacy benefit with a $70 co-pay first shipment and only a $20 co-pay on the second shipment.

      Currently, the ONLY pump supply I need to get under my DME coverage is my Insulin Pump cartridges.

      4 years ago Log in to Reply
    11. Kathy Morison

      The only year I actually met my deductible was when I had my heart attack. I took full advantage and got procedures done and stocked up on the 2 insulins Im on

      4 years ago Log in to Reply
    12. AnitaS

      Even though my co-pay is $35 for one month’s supply, I actually don’t use all of the insulin that is supplied by the insurance so I just order when I actually need insulin which is about every six weeks. My insurance pays 100% of my pump and CGM supplies so I feel I get a good bargain.

      4 years ago Log in to Reply
    13. Derek West

      My Medicare Advantage Plan has no deductible so I pay $47 for 2 vials, a 6 to 7 week supply, but once in the doughnut hole I pay $134 for 2 vials.

      4 years ago Log in to Reply
    14. Gary Taylor

      I get 7 bottles for a 3 month supply (which actually lasts for 4 months or more.) My insurance has a maximum out-or-pocket of $175 for any one order. So that works out to be about $60 per month.

      4 years ago Log in to Reply
    15. Marty

      I’m lucky to have standard Medicare (80% coverage for pump insulin) with a supplement that covers the 20% deductible.

      4 years ago Log in to Reply
    16. Bonatay

      My co-pay for insulin has been $40 for a three-month supply. So 13.33 per month would be my out-of-pocket cost.

      4 years ago Log in to Reply
    17. Janis Senungetuk

      I don’t have a deductible on prescriptions. My primary coverage is thru my spouse’s employer. My secondary insurance is Medicare. All but $10 of my 2 vial a month Novolog prescription is picked up by the primary insurance and Medicare pays a small portion under Part B because I use a pump that covers the remaining balance. I pay plenty for all other DME (pump insulin cartridges, infusion sets, Dexcom CGM sensors and transmitters) because of primary insurance co-insurance 20% + 20% co-pay on pump and CGM supplies. Medicare as a secondary does not cover any co-insurance charges.

      4 years ago Log in to Reply
    18. Annie Maley

      It just seems so wrong, but after insurance I still pay $202 for 90 day supply. I tried to bill through Medicare Part B (with my insulin pump), but they will now only pay for the generic form of Novolog or Humalog. I can’t win.

      4 years ago Log in to Reply
      1. Bonnie Lundblom

        Medicare Part B and my Medicare Supplement plan pay 100% for my Novolog, not the generic. Does this vary from state to state?

        4 years ago Log in to Reply
    19. Janice B

      I am very fortunate that I am now on My husbands carpenters insurance. They have a Wellness facility and if you use their pharmacy prescriptions, with a few exceptions, are free

      4 years ago Log in to Reply
    20. Sherrie Johnson

      My insulin is covered under part B of Medicare because I wear a pump DME durable medical equipment. The plan I have chosen a pay high premium and have no deductibles and no co-pays

      4 years ago Log in to Reply
    21. Donna Clemons

      I go by a 6 month supply. 150.00 Last me about 10 months.

      4 years ago Log in to Reply
    22. connie ker

      I am a senior on Medicare and have a seperate part D insurance plan which covers insulin at no deductible. However, I pay a premium of $58 monthly to carry this Cigna coverage.

      4 years ago Log in to Reply
    23. Vivian Moon

      I am on Medicare and on an insulin pump.
      Because of that, insulin is covered under Medicare Part B.
      Between Medicare and my supplemental health insurance I pay nothing throughout the entire year.
      Not all pharmacies participate though.
      I use Walgreens but there are others.

      1
      4 years ago Log in to Reply
    24. Jneticdiabetic

      I have an employer provided HMO plan. I pay $15 per Rx and 50% if my pump/ CGM supplies until I spend $1500 out of pocket. After that they’re free. I usually just get my Dec refills free.

      4 years ago Log in to Reply
    25. Patricia Dalrymple

      Even with a deductible I pay nothing for test strips or insulin through Cigna with my university employer (other than what they deduct from my pat of course).

      4 years ago Log in to Reply
      1. Patricia Dalrymple

        My pay

        4 years ago Log in to Reply
    26. Bonnie Lundblom

      Medicare Part B and my Medicare Supplement plan pay 100% of the cost of my Novolog for my DME insulin pump.

      4 years ago Log in to Reply
    27. Wanacure

      Please read Ahh Life’s comment. I live in Washington State. The legislature recently passed a law regulating insulin costs. Even my cheapest Kaiser Permanente Medicare plan cannot charge more than $35 per vial of insulin. This applies to brand name glargine (Lantus) and brand name lispro (Novolog); no other types or brands are available as far as I know from KP. Each vial is GMO engineered to effectively last 28 days; but I’ve used them longer than that at my own risk. I can order a 90 day supply of each. Infusion sets for insulin pumps are unregulated as far as I know.

      4 years ago Log in to Reply
    28. kristenthomas

      we don’t have a deductible for prescriptions, you pay the same all year. $30 month

      4 years ago Log in to Reply
    29. Lynn Smith

      I do not have a deductible on my prescriptions. I pay $80 for 3 months of insulin.

      4 years ago Log in to Reply
    30. Lyndsey Escobar

      We get all of our supplies through mail, 90 day supply. It costs $10 for 3 months, regardless of how many vials (his insulin needs have changed since he honeymooned for so long).

      4 years ago Log in to Reply
    31. LizB

      I don’t think I have a prescription deductible. I pay $35/90 days for Humalog through Walgreens. I only found out I could get 90 days in a retail store this summer. Prior to that I was going monthly and paying $30 each month!

      4 years ago Log in to Reply
    32. ConnieT1D62

      I don’t have a deductible with the Medicare advantage plan I am on. Insulin RX is $35.00 per monthly Novolog refill. My endocrine provider gives me sample pens of long & short acting insulin to use in the rare instances when I am off the pump.

      4 years ago Log in to Reply

    If you have met your health insurance prescription deductible for the year, how much is your co-pay for one month’s supply of insulin? Cancel reply

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