Insurance determines what insulins I use and the monitoring device(s) I use and the method of delivery. I tried to get on a pump more than once but was denied by medical insurance. Even if I finally get approved, there’s a additional copays for pump and pump accessories. I copay about $65 each month for a vial of glargine and a vial of lispro. My blood glucose (One Touch) is free, but I copay for the strips. For my Dexcom 6 I must copay $127.85 every two months to Byram. I pay $83 per month for the cheapest Medicare plan I can get. My total prescription out of pocket costs for the first 6 months of 2022: $418. For lab tests, hearing test, eye exam, tech visits, doctor visits I paid $485 out of pocket. If I ever reach $5,800 out of pocket costs this year, I will no longer pay out of pocket Medicare Part A and Part B services. I pay out of pocket for dentist every 6 months, and expect to pay over $4000 for new pair of rechargeable in-the-ear hearing aids with Bluetooth capacity. (Costco members pay half as much for hearing aids.) Medicare has paid for extra depth shoes and orthotics, but that requires a $100 copay. I’d rather pay $200 per pair and see a guy who really knows about foot-care, than the Medicare approved podiatrist who prescribed shoes that fit too tight. Needless to say, I try to keep my medical costs down by taking responsibility daily for healthcare.