[Diabetes-talk] Desperately Seeking insulin Supplier Under Medicare Part B

[Geoffrey Hester]

Alan,  I feel your pain!  I have been working for weeks to accomplish the
same thing. I have spent hours at my local CVS trying to get United
Healthcare (Medicare Advantage plan) to talk them through the process.  No
one seems to want to submit the claim under part B which the plan(s)
clearly state insulin infused via pump is covered.  I have called 21 mail
order companies trying to get them to process under part B and non are
willing or able to do it.  United Healthcare suggested that I "try"
Walgreens...let frustrated that I am being asked to "try" when this should
be a fairly simple process.  I am sorry that all I am able to do is
commiserate with you with all of the frustration that this causes.  I will
let you know if I have any success with Walgreens.
Geoff


On Mon, Feb 24, 2014 at 4:40 PM, Alan Lemly <walemly at gmail.com> wrote:

> I really can't explain the number of hours and the hoops I've jumped
> through
> trying to get my prescriptions set up under Medicare. I was hoping to find
> a
> mail order supplier for my insulin but since as an insulin pumper, I'm
> covered under Medicare Part B, no mail order supplier will supply insulin
> under Part B due to the low Medicare Part B reimbursement rate.
>
>
>
> So my question is, where do those of you on Medicare who use an insulin
> pump
> get your insulin? If you could tell me any hoops you had to jump through to
> get this set up under Medicare Part B so I can do it on the front end, I'd
> be most appreciative. I found a knowledgeable person at my local Walgreens
> but she mentioned something about the doctor needing to submit a
> certificate
> of medical necessity CMN form to Medicare and I'm having a hard time
> locating one of those forms on the Medicare.gov website. I found many CMN
> forms dealing with things like lift chairs and other durable medical
> equipment but I already have an insulin pump and just need to get the
> insulin to feed it.
>
>
>
> Thanks in advance for any assistance you can provide.
>
>
>
> Alan Lemly
>
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