[Diabetes-Talk] Questions Re Medicare Coverage of DexcomG5 System.

[gary-melconian]

That is what I do. Even though I am not in the medi care program I pay for
the supplies out of pocket but that severy six or so months.  Thee dexcom
senssors andtransmitters can bebe found online ffor cheaper prices the nwhat
dexcom offers them for.  

-----Original Message-----
From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of
Daniel Chavez via Diabetes-Talk
Sent: Saturday, August 19, 2017 11:00 AM
To: Diabetes Talk for the Blind <diabetes-talk at nfbnet.org>
Cc: Daniel Chavez <topdog2046 at gmail.com>
Subject: Re: [Diabetes-Talk] Questions Re Medicare Coverage of DexcomG5
System.

Hello list,
I may have some notions to everyone's questions as to how Medicare may know
as to the device being used.
I was looking around Dexcom Clarity, and your transmiter and receiver have
cereal number's and these are viewable on the website.
In edition, the upload date of each device is displayed as to when data was
last uploaded.
So my guess is that, if medicare requested user data from Dexcom, they'd
see, for instance and as an example.
Joe has both a Dexcom (G5) receiver, and Dexcom (G5) transmiter. He also has
the Dexcom mobile app for iPhone.
Joe favors his iPhone app more than his receiver just because, and for no
reason.
Joe has 1 month of readings, and medicare requests Dexcom give user data to
Medicare. Since Joe never used his receiver to upload data, Dexcom Clarity
only shows just the Dexcom Mobile system, with Joe's transmiter cereal
number attached.
Thus, Medicare concludes that, Joe must be using a smartphone app and not
his receiver, and therefore, mandates he pay back what Medicare paid for his
supplies.
So in short, my notion is that, the only way they'd know is if they can look
at the last upload dates for both just the G5 Mobile as well as the
receiver. Because the G5 Mobile application streams data all of the time,
while the receiver does not, then that's how I figure, at least, they can
tell.
I could be wrong, but I'm almost certain I'm not. The problem then becomes,
what if you were one of those who uploaded results daily with your receiver?
Then what?
For me, my doctor said because i'm vision impaired/blind, I can take the
risk of using my phone, but to also take my receiver and calabrate and
collect readings on both my phone and my receiver, that way Medicare can't
say I'm only using my phone for a display device. Then, when my doctor wants
to see me, they'd simply download all of my receiver data and keep it on
their clarity healthcare account, or else, download it into either a .CSV or
.PDF, so that if Medicare ever requests a 30 day supply worth of readings
from the "primary display device," (which would be the receiver), the doctor
can give those readings to them in a report.
I hope that that answers everyone's questions as to Medicare knowing. If I'm
wrong as to my answer or conclusion, however, someone can kindly correct me.
Have an awesome day all.
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