# Insurance **URL:** https://forum.fudiabetes.org/c/diabetes-share/insurance/98.md?page=1 [Latest](https://forum.fudiabetes.org/latest.md) · [Categories](https://forum.fudiabetes.org/categories.md) · [Tags](https://forum.fudiabetes.org/tags.md) **Page:** 2 --- ## [Global Fees - What the Heck](https://forum.fudiabetes.org/t/global-fees-what-the-heck/7312)
**Author:** [@elver](https://forum.fudiabetes.org/u/elver)\ **Replies:** 56\ **Last updated:** [April 30, 2019, 12:33am UTC](https://forum.fudiabetes.org/t/global-fees-what-the-heck/7312 "2019-04-30T00:33:02Z")
Global fee? What in the heck is that? Years I got you on, maturity… You win. --- ## [Insurance now requires pharmacies to pick SHORT end of prescription range?](https://forum.fudiabetes.org/t/insurance-now-requires-pharmacies-to-pick-short-end-of-prescription-range/6724)
**Author:** [@TiaG](https://forum.fudiabetes.org/u/TiaG)\ **Replies:** 67\ **Last updated:** [March 31, 2019, 2:08am UTC](https://forum.fudiabetes.org/t/insurance-now-requires-pharmacies-to-pick-short-end-of-prescription-range/6724 "2019-03-31T02:08:43Z")
this seems to be commonplace now. Our son’s Vimpat (his anti-epileptic drug) is in liquid form and the prescription was written for 300 mL per month. Since the bottle only comes in two sizes (200 ml and 450 ml) they were… --- ## [So it's apparently law now?](https://forum.fudiabetes.org/t/so-its-apparently-law-now/6915)
**Author:** [@Sensorium139](https://forum.fudiabetes.org/u/Sensorium139)\ **Replies:** 21\ **Last updated:** [March 9, 2019, 7:04am UTC](https://forum.fudiabetes.org/t/so-its-apparently-law-now/6915 "2019-03-09T07:04:59Z")
Insurance companies have made it law that they HAVE to split up boxes of insulin pens? Even if you get 5 pens a month? My dang doctor also only didn’t order 3 test strips a day, so guess who only got 50 test strips at t… --- ## [FreeStyle Libre and Medicare](https://forum.fudiabetes.org/t/freestyle-libre-and-medicare/6045)
**Author:** [@Sfbeahen59](https://forum.fudiabetes.org/u/Sfbeahen59)\ **Replies:** 9\ **Last updated:** [January 26, 2019, 8:24pm UTC](https://forum.fudiabetes.org/t/freestyle-libre-and-medicare/6045 "2019-01-26T20:24:11Z")
I was excited to find that Medicare covers the FreeStyle Lebre. My ACC has been bad for years and I just can’t seem to bring it down. So I got my kit and started using this new no finger stick method. I love that you can… --- ## [Prevention – Healthy Living Polypill](https://forum.fudiabetes.org/t/prevention-healthy-living-polypill/693)
**Author:** [@britt\_j](https://forum.fudiabetes.org/u/britt_j)\ **Replies:** 0\ **Last updated:** [May 1, 2017, 11:36pm UTC](https://forum.fudiabetes.org/t/prevention-healthy-living-polypill/693 "2017-05-01T23:36:52Z")
Preventing Bad and Expensive Things From Happening by Taking the Healthy Living Polypill: Everyone Needs This Medicine by Ross Arena, PhD, PT College of Applied Health Sciences University of Illinois at Chicago Chicago, … --- ## [Insurance](https://forum.fudiabetes.org/t/insurance/6553)
**Author:** [@JdadofT1](https://forum.fudiabetes.org/u/JdadofT1)\ **Replies:** 21\ **Last updated:** [February 12, 2019, 10:27pm UTC](https://forum.fudiabetes.org/t/insurance/6553 "2019-02-12T22:27:28Z")
I have worked for state government for over 22 years, and during that time have really only had 2 different insurers. For the first half it was blue cross blue shield. More recently it has been United Healthcare. BC/BS … --- ## [A vent since I don't think there's a vent thread?](https://forum.fudiabetes.org/t/a-vent-since-i-dont-think-theres-a-vent-thread/6244)
**Author:** [@Sensorium139](https://forum.fudiabetes.org/u/Sensorium139)\ **Replies:** 2\ **Last updated:** [January 26, 2019, 3:30am UTC](https://forum.fudiabetes.org/t/a-vent-since-i-dont-think-theres-a-vent-thread/6244 "2019-01-26T03:30:43Z")
Alright. So my primary care provider was dropped by my new medicaid plan, suddenly, without me knowing until I got my second (:face\_with\_symbols\_over\_mouth: ) incorrect card …the rep called my doc and said he’s no longer… --- ## [The Insulin Wars](https://forum.fudiabetes.org/t/the-insulin-wars/6232)
**Author:** [@ClaudnDaye](https://forum.fudiabetes.org/u/ClaudnDaye)\ **Replies:** 4\ **Last updated:** [January 22, 2019, 6:55pm UTC](https://forum.fudiabetes.org/t/the-insulin-wars/6232 "2019-01-22T18:55:43Z")
Written from a Doctor’s perspective. --- ## [Dear UHC, similar is not the same! Humalog is NOT Novolog!](https://forum.fudiabetes.org/t/dear-uhc-similar-is-not-the-same-humalog-is-not-novolog/5452)
**Author:** [@TravelingOn](https://forum.fudiabetes.org/u/TravelingOn)\ **Replies:** 21\ **Last updated:** [January 3, 2019, 9:59pm UTC](https://forum.fudiabetes.org/t/dear-uhc-similar-is-not-the-same-humalog-is-not-novolog/5452 "2019-01-03T21:59:43Z")
:rage: Because I’ve got nothing better to do than fight UHC at the holidays. Good times. ETA: the back of the letter seems imply we can argue this. --- ## [Insurer Medical Policies, Big Picture](https://forum.fudiabetes.org/t/insurer-medical-policies-big-picture/5807)
**Author:** [@John58](https://forum.fudiabetes.org/u/John58)\ **Replies:** 25\ **Last updated:** [December 18, 2018, 9:25pm UTC](https://forum.fudiabetes.org/t/insurer-medical-policies-big-picture/5807 "2018-12-18T21:25:05Z")
What is the best strategy an individual can take to push insurance companies into more realistic medical polices regarding CGM coverage for Type 1 diabetes? Is it going through the grievance process at the insurance comp… --- ## [Getting approval for Afrezza with UHC/Caremark](https://forum.fudiabetes.org/t/getting-approval-for-afrezza-with-uhc-caremark/2608)
**Author:** [@Pianoplayer7008](https://forum.fudiabetes.org/u/Pianoplayer7008)\ **Replies:** 6\ **Last updated:** [December 12, 2018, 5:48am UTC](https://forum.fudiabetes.org/t/getting-approval-for-afrezza-with-uhc-caremark/2608 "2018-12-12T05:48:15Z")
When my doctor prescribed Afrezza, I got a call almost immediately from my pharmacy that it wasn’t covered. My doctor had anticipated this, so we continued going through the steps to get started - set up an appointment w… --- ## [Maybe We Shoud Be Glad We Live in America](https://forum.fudiabetes.org/t/maybe-we-shoud-be-glad-we-live-in-america/5437)
**Author:** [@docslotnick](https://forum.fudiabetes.org/u/docslotnick)\ **Replies:** 31\ **Last updated:** [November 27, 2018, 7:01pm UTC](https://forum.fudiabetes.org/t/maybe-we-shoud-be-glad-we-live-in-america/5437 "2018-11-27T19:01:42Z")
Just read this depressing article from the BBC. Another Gold Star for the NHS. --- ## [Anyone with Anthem BlueCross BlueShield and OmniPod?](https://forum.fudiabetes.org/t/anyone-with-anthem-bluecross-blueshield-and-omnipod/5388)
**Author:** [@Eric](https://forum.fudiabetes.org/u/Eric)\ **Replies:** 9\ **Last updated:** [November 16, 2018, 8:23pm UTC](https://forum.fudiabetes.org/t/anyone-with-anthem-bluecross-blueshield-and-omnipod/5388 "2018-11-16T20:23:37Z")
We are comparing insurance plans for our enrollment. Is there anyone here who uses OmniPods and who has Anthem BlueCross/BlueShield insurance?!? Wondering if BCBS is easy to work with and get approval. Don’t want to ha… --- ## [FreeStyle Libre cost?](https://forum.fudiabetes.org/t/freestyle-libre-cost/2912)
**Author:** [@Pianoplayer7008](https://forum.fudiabetes.org/u/Pianoplayer7008)\ **Replies:** 73\ **Last updated:** [September 27, 2018, 5:57pm UTC](https://forum.fudiabetes.org/t/freestyle-libre-cost/2912 "2018-09-27T17:57:47Z")
So got a call today; Dexcom is definitely not happening for me this year. I then asked my doc for a prescription for the FreeStyle Libre, as I thought maybe it would be a decent cost-effective option until we could get t… --- ## [A bit of manipulation to reduce my insurance co-pay](https://forum.fudiabetes.org/t/a-bit-of-manipulation-to-reduce-my-insurance-co-pay/4101)
**Author:** [@Eric](https://forum.fudiabetes.org/u/Eric)\ **Replies:** 1\ **Last updated:** [June 2, 2018, 8:49pm UTC](https://forum.fudiabetes.org/t/a-bit-of-manipulation-to-reduce-my-insurance-co-pay/4101 "2018-06-02T20:49:59Z")
I wanted to get a Lilly Kwikpen Jr because the Kwikpen Jr is small like the regular Kwikpen, but it has the advantage of the half-unit dosing like the bigger non-disposable Lilly Luxura pen. So best of both worlds - sma… --- ## [Losing job/insurance and the options that follow](https://forum.fudiabetes.org/t/losing-job-insurance-and-the-options-that-follow/3330)
**Author:** [@ClaudnDaye](https://forum.fudiabetes.org/u/ClaudnDaye)\ **Replies:** 190\ **Last updated:** [April 5, 2018, 7:10pm UTC](https://forum.fudiabetes.org/t/losing-job-insurance-and-the-options-that-follow/3330 "2018-04-05T19:10:29Z")
Well…this is always in the back of my mind whether it’s said or not. Why? Because treatment in this county depends on your ability to have insurance. IF you don’t have the right job / insurance, you will have all of … --- ## [What is actually required for your renewals](https://forum.fudiabetes.org/t/what-is-actually-required-for-your-renewals/3721)
**Author:** [@Eric](https://forum.fudiabetes.org/u/Eric)\ **Replies:** 5\ **Last updated:** [March 29, 2018, 11:38pm UTC](https://forum.fudiabetes.org/t/what-is-actually-required-for-your-renewals/3721 "2018-03-29T23:38:15Z")
I have heard before when going to the endo that certain tests are required by the insurance companies to get the prescription approved for certain things. This is generally stated for CGM and insulin pump supplies. For m… --- ## [United HealthCare OmniPod Coverage Info (4/2018)](https://forum.fudiabetes.org/t/united-healthcare-omnipod-coverage-info-4-2018/3806)
**Author:** [@TravelingOn](https://forum.fudiabetes.org/u/TravelingOn)\ **Replies:** 0\ **Last updated:** [March 27, 2018, 9:06pm UTC](https://forum.fudiabetes.org/t/united-healthcare-omnipod-coverage-info-4-2018/3806 "2018-03-27T21:06:02Z")
I recognize that everyone’s mileage on UHC may vary depending on their employer or plan, but I wanted to jot down what I’ve learned recently in case it helps someone else. Based on a discussion with the UHC representati… --- ## [Dexcom Renewals](https://forum.fudiabetes.org/t/dexcom-renewals/3725)
**Author:** [@elver](https://forum.fudiabetes.org/u/elver)\ **Replies:** 4\ **Last updated:** [March 17, 2018, 7:14pm UTC](https://forum.fudiabetes.org/t/dexcom-renewals/3725 "2018-03-17T19:14:08Z")
So, I just tried to refill my Dexcom supplies for the first time this year, and surprisingly I have to do all the insurance checks and referrals again. Even though I have an active Rx and an existing referral with my in… --- ## [Report: worrisome deaths in non-hospital surgery centers](https://forum.fudiabetes.org/t/report-worrisome-deaths-in-non-hospital-surgery-centers/3627)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 7\ **Last updated:** [March 8, 2018, 5:37am UTC](https://forum.fudiabetes.org/t/report-worrisome-deaths-in-non-hospital-surgery-centers/3627 "2018-03-08T05:37:18Z")
Kaiser Health News just came out with this fascinating and worrisome report on surgery centers: It appears to me that much of the report is based directly on Medicare reports. In one case, for instance, “\[…\] a Medica… --- ## [Aetna medical director NEVER looked at patients's records](https://forum.fudiabetes.org/t/aetna-medical-director-never-looked-at-patientss-records/3485)
**Author:** [@MaryPat](https://forum.fudiabetes.org/u/MaryPat)\ **Replies:** 22\ **Last updated:** [February 14, 2018, 11:03pm UTC](https://forum.fudiabetes.org/t/aetna-medical-director-never-looked-at-patientss-records/3485 "2018-02-14T23:03:23Z")
I need to quote a good bit, because it is so shocking (the bolding is mine): "During his videotaped deposition in October 2016, \[Aetna medical director\] Iinuma – who signed the pre-authorization denial – said he never r… --- ## [UnitedHeathcare and Omnipod: overturned on outside appeal :-)](https://forum.fudiabetes.org/t/unitedheathcare-and-omnipod-overturned-on-outside-appeal/1444)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 9\ **Last updated:** [January 16, 2018, 5:47am UTC](https://forum.fudiabetes.org/t/unitedheathcare-and-omnipod-overturned-on-outside-appeal/1444 "2018-01-16T05:47:44Z")
It only took us 8 months, 4 appeals, and probably a hundred pages of writings :slight\_smile: As you know, UHC denied, in November, our request for an Omnipod for my sports loving son who is a big swimmer. They denied ev… --- ## [Medicare cracking down on getting your supplies](https://forum.fudiabetes.org/t/medicare-cracking-down-on-getting-your-supplies/2701)
**Author:** [@amymc](https://forum.fudiabetes.org/u/amymc)\ **Replies:** 19\ **Last updated:** [November 25, 2017, 10:37pm UTC](https://forum.fudiabetes.org/t/medicare-cracking-down-on-getting-your-supplies/2701 "2017-11-25T22:37:15Z")
I use CCS medical for my insulin pump supplies. i was told in order for me to get my supplies i have to see my endo every three months! that was new to me as in the past ive never had any issues with the previous vendor … --- ## [MEDICARE changes its tune, AGAIN, re: pump supplies](https://forum.fudiabetes.org/t/medicare-changes-its-tune-again-re-pump-supplies/1455)
**Author:** [@daisymae](https://forum.fudiabetes.org/u/daisymae)\ **Replies:** 5\ **Last updated:** [November 22, 2017, 5:21pm UTC](https://forum.fudiabetes.org/t/medicare-changes-its-tune-again-re-pump-supplies/1455 "2017-11-22T17:21:32Z")
So i needed to order more pump supplies, infusion sets and reservoirs. i usually get enough to change out my set every other day. this is nice b/c i am very lean and this frequent change helps me to avoid scar tissue. ye… --- ## [Flex Spending Accounts?](https://forum.fudiabetes.org/t/flex-spending-accounts/2654)
**Author:** [@Eric](https://forum.fudiabetes.org/u/Eric)\ **Replies:** 23\ **Last updated:** [November 21, 2017, 5:53pm UTC](https://forum.fudiabetes.org/t/flex-spending-accounts/2654 "2017-11-21T17:53:46Z")
FSA’s let you use that money for prescriptions and doctor visits co-pays and things like that. The money is not taxed, so you end up with more take-home $'s There is a $2650 limit per year on FSA’s. Does anyone know if… --- ## [Finally, some good news!](https://forum.fudiabetes.org/t/finally-some-good-news/2595)
**Author:** [@Pianoplayer7008](https://forum.fudiabetes.org/u/Pianoplayer7008)\ **Replies:** 8\ **Last updated:** [November 9, 2017, 3:48am UTC](https://forum.fudiabetes.org/t/finally-some-good-news/2595 "2017-11-09T03:48:39Z")
I got a text today from my Afrezza rep followed by a call from Mannkind Cares to let me know I was approved for coverage on Afrezza! Shipment will arrive Friday, and it was only a $15 copay - kind of in shock about that … --- ## [CGM coverage - a revelation](https://forum.fudiabetes.org/t/cgm-coverage-a-revelation/2545)
**Author:** [@Pianoplayer7008](https://forum.fudiabetes.org/u/Pianoplayer7008)\ **Replies:** 44\ **Last updated:** [November 5, 2017, 12:07pm UTC](https://forum.fudiabetes.org/t/cgm-coverage-a-revelation/2545 "2017-11-05T12:07:28Z")
I tried again today to get through to someone at our insurance company to try to get coverage details for a CGM and figure out why I keep getting denied. I was once again denied coverage, quoted the specifics of our plan… --- ## [Insurance jargon question](https://forum.fudiabetes.org/t/insurance-jargon-question/2543)
**Author:** [@John58](https://forum.fudiabetes.org/u/John58)\ **Replies:** 10\ **Last updated:** [November 3, 2017, 6:39pm UTC](https://forum.fudiabetes.org/t/insurance-jargon-question/2543 "2017-11-03T18:39:33Z")
Just a quick question about insurance jargon…I am looking at signing up for a new group plan and found this in the marketing info: “The Select Plan is medically underwritten (all size firms).” What specifically does th… --- ## [Just sent out Omnipod appeal!](https://forum.fudiabetes.org/t/just-sent-out-omnipod-appeal/972)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 17\ **Last updated:** [October 11, 2017, 12:52am UTC](https://forum.fudiabetes.org/t/just-sent-out-omnipod-appeal/972 "2017-10-11T00:52:16Z")
This appeal has been a bane on me for months. It has consumed me for the last two weeks. But it is done, and I can now go back to spending more time on finishing the WP site. It took about 40 pages and another 40 pages… --- ## [Everything’s so clear](https://forum.fudiabetes.org/t/everything-s-so-clear/2268)
**Author:** [@Pianoplayer7008](https://forum.fudiabetes.org/u/Pianoplayer7008)\ **Replies:** 9\ **Last updated:** [October 5, 2017, 6:22pm UTC](https://forum.fudiabetes.org/t/everything-s-so-clear/2268 "2017-10-05T18:22:41Z")
The latest instructions I’ve gotten in dealing with the insurance/CGM mess were to call my local diabetes educator, so I did, and she cleared things up for me in a big way. Apparently, beginning last year or this year, U… [Previous page](https://forum.fudiabetes.org/c/diabetes-share/insurance/98.md) [Next page](https://forum.fudiabetes.org/c/diabetes-share/insurance/98.md?page=2)