# Of all the ridiculous hoops **URL:** \ **Category:** Insurance\ **Created:** [September 13, 2017, 5:27pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966 "2017-09-13T17:27:15Z")\ **Posts on this page:** 16\ **Page:** 1
**Author:** ![Pianoplayer7008](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/pianoplayer7008/32/1507_2.png) [@Pianoplayer7008](https://forum.fudiabetes.org/u/Pianoplayer7008)\ **Post date:** [September 13, 2017, 5:27pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/1 "2017-09-13T17:27:15Z")
Can I just rant about doctors and insurance for a second? I am sick and tired of having to prove that my BG is poorly managed one way before they’ll let me try another way - is this how it always is?! In pregnancy, my MFM put me on a fixed dose of insulin, and she wasn’t willing to try an ICR until I followed her dosage guidelines and showed her how it wasn’t working (I wasn’t willing to do that and put my baby through all those highs). Now, insurance has denied coverage of Afrezza and, despite the fact that I JUST got prescribed and picked up Novolog, I apparently can’t appeal the Afrezza denial until I am on Novolin R for a month; basically have to show them a month of highs and lows to prove it doesn’t work. This is so ridiculous. ---
**Author:** ![Michel](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/michel/32/387_2.png) [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Post date:** [September 13, 2017, 5:34pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/2 "2017-09-13T17:34:26Z")
> [@Pianoplayer7008](#): > > I apparently can’t appeal the Afrezza denial until I am on Novolin R for a month; They need you to be on Novolin R? This has got to be one of the stupidest things ever. > [@Pianoplayer7008](#): > > I am sick and tired of having to prove that my BG is poorly managed one way before they’ll let me try another way I cannot agree with you more ☹ @Eric has some interesting ideas on the subject. One thing he does, for instance, is that he never gets an A1c at the doctor, so that it does not get entered into his info (his is too good…). > [@Pianoplayer7008](#): > > This is so ridiculous. So sorry. We are all in the same boat ☹ But – the good news is that you may be able to appeal it successfully! Make sure to gets lots of lows with Novolin R – that shouldn’t be too hard 🙂 ---
**Author:** ![Pianoplayer7008](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/pianoplayer7008/32/1507_2.png) [@Pianoplayer7008](https://forum.fudiabetes.org/u/Pianoplayer7008)\ **Post date:** [September 13, 2017, 5:39pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/3 "2017-09-13T17:39:46Z")
> [@Michel](#): > > This has got to be one of the stupidest things ever. Yes! And the worst part is my doc is all for it, per the voicemail from her staff I just got. > [@Michel](#): > > One thing he does, for instance, is that he never gets an A1c at the doctor, so that it does not get entered into his info (his is too good…). Hmmm, that’s a really good idea…my last one was 5, despite my control actually getting worse since the 5.3 the few weeks prior (yes, I had two drawn within a few weeks; long story). > [@Michel](#): > > Make sure to gets lots of lows with Novolin R – that shouldn’t be too hard 🙂 This is what is bothering me the most. I cannot risk multiple lows while I’m home alone with 2 kids under 3! They still haven’t covered a Dex, either, so it’s not like I could catch the lows early enough to be semi-functional overall. ---
**Author:** ![Michel](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/michel/32/387_2.png) [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Post date:** [September 13, 2017, 5:50pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/4 "2017-09-13T17:50:35Z")
> [@Pianoplayer7008](#): > > This is what is bothering me the most. I cannot risk multiple lows while I’m home alone with 2 kids under 3! Now that is a pain, you are right ☹ I know a way where you can get a month or 6 weeks of sensors, if you can borrow a Dex somewhere. Possibly you could get a “trial” where your endo could lend you one? Or possibly the Dexcom rep could lend you one for a few weeks? If you can get the dex, I can explain how you can get the sensors. ---
**Author:** ![Pianoplayer7008](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/pianoplayer7008/32/1507_2.png) [@Pianoplayer7008](https://forum.fudiabetes.org/u/Pianoplayer7008)\ **Post date:** [September 13, 2017, 5:53pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/5 "2017-09-13T17:53:36Z")
> [@Michel](#): > > If you can get the dex, I can explain how you can get the sensors. Thanks. I’ll work on this for sure. I just started using a new cartridge of Novolog with my new pen, so I pretty much refuse to stop using it and switch to Novolin until the month is up (I can’t throw away good insulin!)…so I have time to figure out the Dex situation beforehand, I guess. ---
**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\ **Post date:** [September 13, 2017, 6:00pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/6 "2017-09-13T18:00:07Z")
> [@Michel](#): > > if you can borrow a Dex somewhere. Possibly you could get a “trial” where your endo could lend you one? @Pianoplayer7008, All you would need to get is the transmitter battery. You could use it with your phone, so you don’t need a receiver. And I’ll send you some sensors. There might be someone on FUD who used a battery for 9 months who has some spares… 🤣 ---
**Author:** ![Pianoplayer7008](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/pianoplayer7008/32/1507_2.png) [@Pianoplayer7008](https://forum.fudiabetes.org/u/Pianoplayer7008)\ **Post date:** [September 13, 2017, 7:54pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/7 "2017-09-13T19:54:02Z")
Cool! I just got off the phone with my insurance, trying once again to get them to get a move on with approving one for me, so hopefully by the time I have to do the Novolin, I’ll be the proud new owner of a Dexcom and won’t need a workaround… ---
**Author:** ![Michel](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/michel/32/387_2.png) [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Post date:** [September 13, 2017, 7:57pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/8 "2017-09-13T19:57:53Z")
> [@Eric](#): > > And I’ll send you some sensors. @Eric → I was going to “explain how you can get the sensors.”!!! I preempted you! ---
**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\ **Post date:** [September 13, 2017, 9:25pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/9 "2017-09-13T21:25:33Z")
I wasn’t sure if you had a different angle. ---
**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\ **Post date:** [September 13, 2017, 9:31pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/10 "2017-09-13T21:31:15Z")
> [@Pianoplayer7008](#): > > Now, insurance has denied coverage of Afrezza and, despite the fact that I JUST got prescribed and picked up Novolog, I apparently can’t appeal the Afrezza denial until I am on Novolin R for a month; basically have to show them a month of highs and lows to prove it doesn’t work. This is so ridiculous. I have something for you. I am working on it now. I will post the details for you soon (it’s just a :macgyver: :guinea_pig: thing). Two questions. Do you have a current script for NovoLog so you can keep using it? If so, you don’t really need to ever use the R. I will explain that in a bit 😉 What kind of BG meter do you use? Fill the prescription for R as proof you got it, but don’t worry about using it. ---
**Author:** ![Sam](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/sam/32/10595_2.png) [@Sam](https://forum.fudiabetes.org/u/Sam)\ **Post date:** [September 13, 2017, 10:34pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/11 "2017-09-13T22:34:40Z")
@eric is going to kill a gerbil? Also mankind has a department called mankind cares that can help smooth out insurance issues and if all else fails provide discount cards etc… ---
**Author:** ![Irish](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/irish/32/57_2.png) [@Irish](https://forum.fudiabetes.org/u/Irish)\ **Post date:** [September 13, 2017, 10:38pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/12 "2017-09-13T22:38:03Z")
Been trying to circle back to you all day with a meaningful message, but suffice it to say, this is rotten. Simply rotten, and we’re rooting for you all the way. Sorry I couldn’t manage something better than this. I was also hoping you had a current rx, so that you could use that while you “fail.” with measured lows that simply don’t work for you. But as usual, @Eric is fast! Love this suggestion. ---
**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\ **Post date:** [September 13, 2017, 11:12pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/13 "2017-09-13T23:12:12Z")
I got a good one coming! It might be useful to you too! Just have to finish and write it up. ---
**Author:** ![Aaron](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/aaron/32/1454_2.png) [@Aaron](https://forum.fudiabetes.org/u/Aaron)\ **Post date:** [September 13, 2017, 11:16pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/14 "2017-09-13T23:16:57Z")
I have a feeling I know where thia is going… I was going to post how I did MDI with R but not sure it is worth it 🙂 ---
**Author:** ![Pianoplayer7008](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/pianoplayer7008/32/1507_2.png) [@Pianoplayer7008](https://forum.fudiabetes.org/u/Pianoplayer7008)\ **Post date:** [September 13, 2017, 11:18pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/15 "2017-09-13T23:18:04Z")
> [@Eric](#): > > Two questions. Do you have a current script for NovoLog so you can keep using it? Yes! Just filled it a few days ago. > [@Eric](#): > > What kind of BG meter do you use? ReliOn Prime(?) - whatever the cheapo from Walmart is. @Sam, we have gone through Mannkind Cares. 🙁 Thank you, @Irish! ---
**Author:** ![Michel](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/michel/32/387_2.png) [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Post date:** [September 13, 2017, 11:52pm UTC](https://forum.fudiabetes.org/t/of-all-the-ridiculous-hoops/1966/16 "2017-09-13T23:52:59Z")
> [@Aaron](#): > > I was going to post how I did MDI with R but not sure it is worth it 🙂 Please do! That would be great, different points of view are always great to read!