FUDiabetes

Freestyle Libre sensors may need to be durable medical supply for insurance

cgm
freestyle-libre

#1

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 information but I have been getting my sensors for the libre through W******t pharmacy. I pay out-of-pocket $75 a month I thought it was kind of steep but well worth it. After calling my insurance company to see what I would be paying for the dexcom they told me that W******t has never submitted a claim the reason I was paying $75 Is because the claim should have been going through my insurance as a durable medical supply and not the pharmacy, at that point I would have only had to pay 10%. I know insurances everywhere are different I live in Pennsylvania perhaps this info can help someone else if they were as naïve as me and trusted the pharmacy to handle it all.


Freestyle Libre Adhesive Allergy
#2

Gosh, so sorry to read this. This is worth its own thread.

Btw, this may vary per insurance company. But still a major goof from the pharmacy :frowning:


#3

I dont think walmart can file dme claim. But is confusing because some plans cover as RX, which can be processed by walmart.

My plan does not cover libre either way, so i have paid OOP, using discount card from libre.


#4

When I contacted libre asking if they offered a discount card for those paying out of pocket I was told they did not offer one.


#5

Here is one discount, but not one that i used.
https://www.goodrx.com/freestyle-libre

Since i use dexcom, i was able to get discount coupon from Libre website. Had to enter my dexcom number. But it was good for free reader and i think one sensor.
If i stop dexcom, i would switch and use the goodrx discount, which may be lower than what walmart was charging you.


#6

This really must vary from policy to policy because Libre is considered a pharmacy benefit with my insurance which is why I can use it alongside either the Guardian or G6.

This doesn’t mean I don’t think my pharmacy or my insurance company are robbing me. I know they are. :smiley:


#7

While you are throwing shade, don’t forget, Pharma companies, PBM’s and hospitals who are all also contributing to the problem of affordability.


#8

I don’t have enough time in this next week or enough savings in my mental wellness bank to share even the tip of my feelings with this and be able to recover my good mood before tomorrow.

Criminal, shameless, detrimental, cruel… I can say that much before hurrying back to happy thoughts.

…Nope. Damage is done. Damn.


#9

I am sorry for negatively contributing to your mood. I will lash myself severely tonight.


#10

Bounced back. You can scratch that from your plans. Unless you’ve already… :grimacing: