# Insurance **URL:** https://forum.fudiabetes.org/c/diabetes-share/insurance/98.md [Latest](https://forum.fudiabetes.org/latest.md) · [Categories](https://forum.fudiabetes.org/categories.md) · [Tags](https://forum.fudiabetes.org/tags.md) --- ## [About the Insurance category](https://forum.fudiabetes.org/t/about-the-insurance-category/689)
**Author:** [@system](https://forum.fudiabetes.org/u/system)\ **Replies:** 0\ **Last updated:** [May 1, 2017, 8:16pm UTC](https://forum.fudiabetes.org/t/about-the-insurance-category/689 "2017-05-01T20:16:17Z")
Discussion of any kind of insurance for people with diabetes --- ## [Starting twiist pump on Medicare](https://forum.fudiabetes.org/t/starting-twiist-pump-on-medicare/15996)
**Author:** [@John58](https://forum.fudiabetes.org/u/John58)\ **Replies:** 46\ **Last updated:** [September 7, 2026, 5:52pm UTC](https://forum.fudiabetes.org/t/starting-twiist-pump-on-medicare/15996 "2026-09-07T17:52:59Z")
In order to get the twiist pump on Medicare, first I asked my endo to complete the Formulary Exception form for my Part D Medicare insurance (Healthspring, formerly Cigna). That’s about a five page form. I filled in the… --- ## [Doctor asks for help](https://forum.fudiabetes.org/t/doctor-asks-for-help/15690)
**Author:** [@mohe0001](https://forum.fudiabetes.org/u/mohe0001)\ **Replies:** 7\ **Last updated:** [December 21, 2025, 4:44pm UTC](https://forum.fudiabetes.org/t/doctor-asks-for-help/15690 "2025-12-21T16:44:05Z")
I have a doctor asking for help. I told him that I would ask for comment from our community of ‘expert obsessives.’ (I forget which one of you came up with that terminology, but I love it.) Where are our diabetic pharmac… --- ## [Medicare Competitive Bidding Process](https://forum.fudiabetes.org/t/medicare-competitive-bidding-process/15632)
**Author:** [@CarlosLuis](https://forum.fudiabetes.org/u/CarlosLuis)\ **Replies:** 22\ **Last updated:** [December 20, 2025, 12:11am UTC](https://forum.fudiabetes.org/t/medicare-competitive-bidding-process/15632 "2025-12-20T00:11:40Z")
I can’t wait to learn how this is going to affect DME stuff like pumps, insulin and infusion sets. Probably CGMs as well. It also will affect choices of ostomy supplies. That means me. One size doesn’t fit all. I tried… --- ## [I didn't expect some of these answers to questions on insurance for CGM](https://forum.fudiabetes.org/t/i-didnt-expect-some-of-these-answers-to-questions-on-insurance-for-cgm/15692)
**Author:** [@mohe0001](https://forum.fudiabetes.org/u/mohe0001)\ **Replies:** 0\ **Last updated:** [December 18, 2025, 9:48pm UTC](https://forum.fudiabetes.org/t/i-didnt-expect-some-of-these-answers-to-questions-on-insurance-for-cgm/15692 "2025-12-18T21:48:30Z")
Thank you for your interest in our latest webinar where we explored how private insurance coverage of CGMs shapes access to care for people living with diabetes. Watch the recording: Catch up on the discussion and ins… --- ## [Insurance education from Manny](https://forum.fudiabetes.org/t/insurance-education-from-manny/15674)
**Author:** [@mohe0001](https://forum.fudiabetes.org/u/mohe0001)\ **Replies:** 0\ **Last updated:** [December 15, 2025, 5:49pm UTC](https://forum.fudiabetes.org/t/insurance-education-from-manny/15674 "2025-12-15T17:49:01Z")
The Link Leader 1,522 subscribers Subscribe From confusion to confidence: what we learned about helping young adults navigate insurance Manuel Hernández CEO, The Diabetes Link (FKA, College Diabetes Network); poet … --- ## [Are there any Direct Payment or Direct Primary Care endocrinologists?](https://forum.fudiabetes.org/t/are-there-any-direct-payment-or-direct-primary-care-endocrinologists/15585)
**Author:** [@mohe0001](https://forum.fudiabetes.org/u/mohe0001)\ **Replies:** 9\ **Last updated:** [November 19, 2025, 5:07am UTC](https://forum.fudiabetes.org/t/are-there-any-direct-payment-or-direct-primary-care-endocrinologists/15585 "2025-11-19T05:07:21Z")
My doc used to run his own clinic, but it only lasted a year or so. The administrative burden was too high for him. I don’t understand any of this. Here’s what people are writing. --- ## [Anyone have any G6 transmitters/sensors they don’t need?](https://forum.fudiabetes.org/t/anyone-have-any-g6-transmitters-sensors-they-don-t-need/15092)
**Author:** [@bpollina](https://forum.fudiabetes.org/u/bpollina)\ **Replies:** 3\ **Last updated:** [February 13, 2025, 1:58pm UTC](https://forum.fudiabetes.org/t/anyone-have-any-g6-transmitters-sensors-they-don-t-need/15092 "2025-02-13T13:58:33Z")
My wife, Lori is a type two diabetic on Medicare and because she does not take insulin. Medicare won’t pay for a G6 a G7 or anything and we can’t afford to go on the new Dexcom one at $100 a month. Is anyone recently up… --- ## [Insurance issues with Diabetes Supplies](https://forum.fudiabetes.org/t/insurance-issues-with-diabetes-supplies/15110)
**Author:** [@funk](https://forum.fudiabetes.org/u/funk)\ **Replies:** 4\ **Last updated:** [February 11, 2025, 3:59pm UTC](https://forum.fudiabetes.org/t/insurance-issues-with-diabetes-supplies/15110 "2025-02-11T15:59:16Z")
With all the recent events surrounding medical care/insurance in the US, including the negative coverage of claims’ denials by healthcare insurance companies, I am interested to hear if/how people on this forum are affec… --- ## [My pump and Dexcom prescription](https://forum.fudiabetes.org/t/my-pump-and-dexcom-prescription/11489)
**Author:** [@Eric](https://forum.fudiabetes.org/u/Eric)\ **Replies:** 11\ **Last updated:** [February 6, 2024, 2:40am UTC](https://forum.fudiabetes.org/t/my-pump-and-dexcom-prescription/11489 "2024-02-06T02:40:50Z")
I found out something really neat yesterday. I got my pump and Dex prescriptions from a general practitioner about 2 years ago. He had never done those scripts before, so I did all the paperwork for him ahead of time, p… --- ## [Medicare Coverage](https://forum.fudiabetes.org/t/medicare-coverage/9134)
**Author:** [@Katers87](https://forum.fudiabetes.org/u/Katers87)\ **Replies:** 4\ **Last updated:** [December 13, 2023, 3:14pm UTC](https://forum.fudiabetes.org/t/medicare-coverage/9134 "2023-12-13T15:14:11Z")
This thread is intended to discuss Medicare eligibility and coverage. I’m getting it started, but hopefully other people will add some additional comments and insights to the thread. I’m going to go over my basic knowle… --- ## [Medicare and HSA contributions](https://forum.fudiabetes.org/t/medicare-and-hsa-contributions/14282)
**Author:** [@MM2](https://forum.fudiabetes.org/u/MM2)\ **Replies:** 10\ **Last updated:** [December 11, 2023, 1:09am UTC](https://forum.fudiabetes.org/t/medicare-and-hsa-contributions/14282 "2023-12-11T01:09:38Z")
I will start medicare next May 1. I have contributed to HSA account for past several years. Today I found out some disappointing news. I may be penalized for a portion of my 2023 HSA contributions, done in 2023. (I di… --- ## [Insurance bounced my CGM prescription](https://forum.fudiabetes.org/t/insurance-bounced-my-cgm-prescription/2189)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 60\ **Last updated:** [November 11, 2023, 2:32am UTC](https://forum.fudiabetes.org/t/insurance-bounced-my-cgm-prescription/2189 "2023-11-11T02:32:36Z")
@Pianoplayer7008, I am really sorry to read this! :frowning: What reason are they giving now? Should we start a thread on this and see how we can help you go through their hurdles? --- ## [Billing issues with Byram & United Healthcare](https://forum.fudiabetes.org/t/billing-issues-with-byram-united-healthcare/14229)
**Author:** [@Kirbywright](https://forum.fudiabetes.org/u/Kirbywright)\ **Replies:** 1\ **Last updated:** [November 8, 2023, 3:25pm UTC](https://forum.fudiabetes.org/t/billing-issues-with-byram-united-healthcare/14229 "2023-11-08T15:25:45Z")
Byram is double bills, incorrect diagnosis codes etc. Anyone else have issues with Byram and United Healthcare Medicare Advantage? thanks --- ## [OmniPod Certificate of Medical Necessity](https://forum.fudiabetes.org/t/omnipod-certificate-of-medical-necessity/14090)
**Author:** [@CatLady](https://forum.fudiabetes.org/u/CatLady)\ **Replies:** 1\ **Last updated:** [August 30, 2023, 3:03pm UTC](https://forum.fudiabetes.org/t/omnipod-certificate-of-medical-necessity/14090 "2023-08-30T15:03:23Z")
I have been having a lot of trouble getting the pre-authorization for the upgrade from Eros to Dash pods through my insurance (Tricare for Life/ Express Scripts). Part of the problem is that the provider’s office doesn’t… --- ## [Insurance rant](https://forum.fudiabetes.org/t/insurance-rant/13374)
**Author:** [@Karl.n](https://forum.fudiabetes.org/u/Karl.n)\ **Replies:** 6\ **Last updated:** [December 2, 2022, 3:05pm UTC](https://forum.fudiabetes.org/t/insurance-rant/13374 "2022-12-02T15:05:48Z")
This year I was in a bike race and broke my collarbone. The surgeon assured me I would heal with or without surgery but urged me to get surgery because the healing process would be faster and I wouldn’t have a bump on m… --- ## [Screwed up my Medicare coverage?](https://forum.fudiabetes.org/t/screwed-up-my-medicare-coverage/12645)
**Author:** [@John58](https://forum.fudiabetes.org/u/John58)\ **Replies:** 12\ **Last updated:** [May 12, 2022, 10:30pm UTC](https://forum.fudiabetes.org/t/screwed-up-my-medicare-coverage/12645 "2022-05-12T22:30:29Z")
OK here is what I did…any over 65’s with experience in Medicare please tell me if I screwed this up. Signed up for a Medicare Advantage plan before I turned 65. Started in on the plan, everything seemed great. Today I h… --- ## [Humalog discount card](https://forum.fudiabetes.org/t/humalog-discount-card/12246)
**Author:** [@Mariethm](https://forum.fudiabetes.org/u/Mariethm)\ **Replies:** 5\ **Last updated:** [January 7, 2022, 2:10pm UTC](https://forum.fudiabetes.org/t/humalog-discount-card/12246 "2022-01-07T14:10:26Z")
Just a PSA, for the very few of us who still use Humalog. There may be a link for Lyumjev as well… My CVS automatically applies coupons, which is freaking awesome. One of the many reasons that my PBM scrip delivery opti… --- ## [Medicare questions](https://forum.fudiabetes.org/t/medicare-questions/12003)
**Author:** [@Jan](https://forum.fudiabetes.org/u/Jan)\ **Replies:** 13\ **Last updated:** [December 8, 2021, 10:11am UTC](https://forum.fudiabetes.org/t/medicare-questions/12003 "2021-12-08T10:11:57Z")
Anyone on Medicare? I just turned 65 and now the pharmacy is telling me that Medicare doesn’t cover Dexcom, not on Pharmacy benefits (Part D) or on Part B (durable medical equipment). Can this be true? CGM is the standar… --- ## [Ran into new regs on scrips](https://forum.fudiabetes.org/t/ran-into-new-regs-on-scrips/10886)
**Author:** [@Mariethm](https://forum.fudiabetes.org/u/Mariethm)\ **Replies:** 5\ **Last updated:** [February 11, 2021, 7:30pm UTC](https://forum.fudiabetes.org/t/ran-into-new-regs-on-scrips/10886 "2021-02-11T19:30:05Z")
Aargh! I had read about this here, but Express Scripts finally changed their regulations for insulin. Yep, the dreaded short end. 1 box of Tresiba, although I’ve been going through slightly more than that. They just chan… --- ## [United Health Care subscribers can now get Omnipods!](https://forum.fudiabetes.org/t/united-health-care-subscribers-can-now-get-omnipods/10561)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 2\ **Last updated:** [December 1, 2020, 12:15am UTC](https://forum.fudiabetes.org/t/united-health-care-subscribers-can-now-get-omnipods/10561 "2020-12-01T00:15:31Z")
We were just contacted by an Insulet representative that asked if we were still interested about getting K on Omnipod (our request from 5 years ago). She told me that it is now possible to get an Omnipod pump on UGC insu… --- ## [Kaiser Permanente: Great insurance for T1 Diabetes](https://forum.fudiabetes.org/t/kaiser-permanente-great-insurance-for-t1-diabetes/10478)
**Author:** [@Andre](https://forum.fudiabetes.org/u/Andre)\ **Replies:** 10\ **Last updated:** [November 21, 2020, 9:01pm UTC](https://forum.fudiabetes.org/t/kaiser-permanente-great-insurance-for-t1-diabetes/10478 "2020-11-21T21:01:18Z")
Maybe getting a little off topic, but I can highly recommend Kaiser Permanente, if that’s available to anyone. When our son was always thirsty and peed a lot earlier this year, I emailed them for a urine test on the Sund… --- ## [Medical bills](https://forum.fudiabetes.org/t/medical-bills/7287)
**Author:** [@allison](https://forum.fudiabetes.org/u/allison)\ **Replies:** 74\ **Last updated:** [October 2, 2020, 3:52pm UTC](https://forum.fudiabetes.org/t/medical-bills/7287 "2020-10-02T15:52:38Z")
Not really sure where this fits in, but just wanted to vent about medical bills for a minute. I have a high-deductible plan. I live in an area with LOTS of endos, so I’ve been fortunate to be able to switch as needed ov… --- ## [Lilly offers $35 copay](https://forum.fudiabetes.org/t/lilly-offers-35-copay/9624)
**Author:** [@lucaswe](https://forum.fudiabetes.org/u/lucaswe)\ **Replies:** 1\ **Last updated:** [April 8, 2020, 7:57pm UTC](https://forum.fudiabetes.org/t/lilly-offers-35-copay/9624 "2020-04-08T19:57:48Z")
I have not used this since I’m not on insulin now but heard it on the news this morning. WHO IS ELIGIBLE FOR THIS PROGRAM? This program is available to patients in the US with commercial insurance, including those wit… --- ## [Why I hate insurance test strips](https://forum.fudiabetes.org/t/why-i-hate-insurance-test-strips/9268)
**Author:** [@Sam](https://forum.fudiabetes.org/u/Sam)\ **Replies:** 4\ **Last updated:** [February 7, 2020, 3:54am UTC](https://forum.fudiabetes.org/t/why-i-hate-insurance-test-strips/9268 "2020-02-07T03:54:58Z")
Been mail ordering this script for a long time, current script, with refills… but everything with insurance has to be an issue and a headache. So instead of a 75 dollar copay for 900 strips, plus about $1000 worth of … --- ## [CVS/Caremark?](https://forum.fudiabetes.org/t/cvs-caremark/8756)
**Author:** [@bpollina](https://forum.fudiabetes.org/u/bpollina)\ **Replies:** 6\ **Last updated:** [November 26, 2019, 8:00am UTC](https://forum.fudiabetes.org/t/cvs-caremark/8756 "2019-11-26T08:00:06Z")
My work uses UHC for private health insurance. For prescriptions, we currently use Express Scripts, but in January they are switching to CVS/Caremark. Anyone have any experience with them? I’m spoiled because we have a… --- ## [UHC Weirdness - Home visits? Anyone else hear this?](https://forum.fudiabetes.org/t/uhc-weirdness-home-visits-anyone-else-hear-this/8144)
**Author:** [@TravelingOn](https://forum.fudiabetes.org/u/TravelingOn)\ **Replies:** 20\ **Last updated:** [August 26, 2019, 11:15pm UTC](https://forum.fudiabetes.org/t/uhc-weirdness-home-visits-anyone-else-hear-this/8144 "2019-08-26T23:15:59Z")
So, this just happened… EH got a phone call from someone purporting to be from United HealthCare, and they were actually calling about me (we are on the same insurance). The woman on the phone said that UHC pays for a h… --- ## [Public Option](https://forum.fudiabetes.org/t/public-option/7731)
**Author:** [@John58](https://forum.fudiabetes.org/u/John58)\ **Replies:** 19\ **Last updated:** [June 25, 2019, 6:33am UTC](https://forum.fudiabetes.org/t/public-option/7731 "2019-06-25T06:33:38Z")
WA will have a public option starting in 2021. According to one of the elected class who invented this: “This new option with standardized plans will not only make insurance coverage more affordable, but will allow peop… --- ## [Freestyle Libre sensors may need to be durable medical supply for insurance](https://forum.fudiabetes.org/t/freestyle-libre-sensors-may-need-to-be-durable-medical-supply-for-insurance/6544)
**Author:** [@Bonni](https://forum.fudiabetes.org/u/Bonni)\ **Replies:** 17\ **Last updated:** [May 11, 2019, 2:32am UTC](https://forum.fudiabetes.org/t/freestyle-libre-sensors-may-need-to-be-durable-medical-supply-for-insurance/6544 "2019-05-11T02:32:29Z")
Well, the process has been started for the dexcom, after talking to the company I am rather excited because it seems like it will do so much more than the Freestyle Libre. Don’t know if anyone else can benefit from this… --- ## [How to get Freestyle Libre approved by Medicare](https://forum.fudiabetes.org/t/how-to-get-freestyle-libre-approved-by-medicare/6762)
**Author:** [@tduke](https://forum.fudiabetes.org/u/tduke)\ **Replies:** 5\ **Last updated:** [May 7, 2019, 5:17pm UTC](https://forum.fudiabetes.org/t/how-to-get-freestyle-libre-approved-by-medicare/6762 "2019-05-07T17:17:34Z")
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