[Diabetes-Talk] More On Dexcom Coverage.

Wed Aug 30 23:54:53 UTC 2017

I am standing right beside you Tamera fighting for Medicare to cover the CGM and supplies without such strings attached.  It has been too long of a battle for me and maybe I should have kept the fight up, but I am not giving up yet.

Joyce

-----Original Message-----
From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Tamera via Diabetes-Talk
Sent: Wednesday, August 30, 2017 6:44 PM
To: 'Diabetes Talk for the Blind' <diabetes-talk at nfbnet.org>
Cc: Tamera <fidano at comcast.net>
Subject: Re: [Diabetes-Talk] More On Dexcom Coverage.

Wow, I am the last one you'll find letting blindness stop me from anything I have not clearly exhausted all efforts!
I spent a few hours today with Medicare, Dexcom 3 way and more...
The result, I was not told but advised to agree to saying I will only use the receiver ... await the eligibility and meanwhile..
Have my doctor not just write a new RX for Dexcom, but also a letter documenting my reasons I need to use the app for my health care or what.. it's written in Medicare laws, this agent read and explained to Dexcom and I.
Unfortunately, it's still a stand still.. one must have a claim, which means an order to submit to Medicare and begin an appeal process.
Dexcom does not want to start an order w/o Medicare approving it.. 
My biggest gripe is I will be receiving a second receiver, the one I got in early 2016, I have never used.. only the App.
Of which even more recently FDA approved that we can rely on it for highs and lows.. as in the past we were told to recheck our glucose via the meter to be certain the Transmitter and app were all on target, prior to treating either way.
 I have a new transmitter and only recently started another.. but I will be getting 2 transmitters in this initial order.. so, won't need more till late 2018.
All I truly need are sensors to keep what I have used successfully for the past year and half.
The meter deal... well it comes along regardless. It is a Bluetooth one, so I a few years ago used one that I could use the app on my phone to read results.. since the meter itself was not accessible.. so, who knows, perhaps   with an app the meter too will work.
 So, my docs are in and I will await Medicare to approve.. and along with my Docs letter, if not accepted right off have it for my appeal.
Just a lot of senseless BS and money for stuff I cannot and will not use.
Tamera

-----Original Message-----
From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of sandi via Diabetes-Talk
Sent: Wednesday, August 30, 2017 8:44 AM
To: Diabetes Talk for the Blind <diabetes-talk at nfbnet.org>
Cc: sandi <sjryan2 at gmail.com>
Subject: Re: [Diabetes-Talk] More On Dexcom Coverage.

Hi Tamara,

You know how they say don’t let blindness hold you back. In my opinion, that’s exactly what your statement does. Yes, I do have an idea who to contact. Contact President Mark Riccobono at president at nfb.org and remind him that in 2014 a resolution was passed unanimously by the convention that diabetes and other medical tools needed by blind persons should be made accessible, and that in 2016 another resolution reinforced the 2014 resolution and set forth a very specific bill of rights for people who are blind or low-vision and have diabetes. Let him know that three years after the original resolution, blind and low-vision diabetics are still struggling to “make do,” and that you’d like the national organization to be accountable for the resolutions passed.

We are a small but ever growing population, and we are not as small as has been suggested here in the past. If we use that as an excuse not to do anything about it for ourselves, how can we expect the national organization to become and remain interested in this issue? So far as I know, I am the only one who has written to President Riccobono, and that one email got results, though they were quickly let slip because of the circumstances I wrote about in my last 

Please write specific things like this on the list and to Bernadette Jacobson personally, too, to let the DAN president know that this is your highest priority for the DAN. 

I’ve also heard “We can’t get a bill through Congress right  now, so why bother?” Why bother? Because each of us who cares about this issue needs to talk, not just with each other, but with our family, friends, and groups we belong to, blind and otherwise, to make the very serious point that blind and low-vision people with diabetes are being left behind the best technology for monitoring and treating our disease, an issue which will, in the future, mean that we are sicker, less well-controlled, and die sooner than people with diabetes who have access to new treatments as they are developed. And don’t leave out your medical personnel either. They need to understand that, though there are treatments they can use besides technology, eventually this will become a problem, and now is the time to see that accessibility is included in all medical advances.

Also, talk about the fact that more and more people are going blind as our population ages, and many of them are and will be diabetic, not from retinopathy or other diabetes-related diseases, but from other eye diseases incidental with diabetes. They will not be less blind or less in need of diabetes treatments.

I really hope this helps. The time for members of this list, members of DAN, members of DANs around the country, and any person who is blind or losing vision to contact the NFB and get the information out to everyone we know so that enough people become aware to help us tell the manufacturers, the FDA, CMS, and other government agencies that “small group” is no longer an acceptable excuse. This issue means lives, and will mean more in the future.

I am, as you can tell, more than a touch passionate about this issue. It physically hurts me to read the discussion here about Dexcom, which worked and now may not, or at least has obstacles thrown in your way. It hurts me to know that an artificial pancreas is soon to be here, and it will not be accessible to blind people with diabetes because we aren’t doing the work that desperately needs doing. It hurts me that there are not laws in place to dictate to FDA, CMS, and the diabetes technology manufacturers that they can’t put out one new pill, pen, or piece of technology that isn’t first accessible to the blind and other disabled people with diabetes. If it hurts you, too, don’t ask who can do something about this? You can! And I can. Let’s get busy, together, if possible. What can I do to help you pick up my passion?

Sandi

Sent from Mail for Windows 10

From: Tamera via Diabetes-Talk
Sent: Tuesday, August 29, 2017 10:34 PM
To: 'Diabetes Talk for the Blind'
Cc: Tamera
Subject: Re: [Diabetes-Talk] More On Dexcom Coverage.

I don’t' think there are enough of us to  bother with. Any ideas on whom to contact? Make an appeal?

-----Original Message-----
From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Eileen Scrivani via Diabetes-Talk
Sent: Monday, August 28, 2017 6:45 PM
To: Diabetes Talk for the Blind <diabetes-talk at nfbnet.org>
Cc: Eileen Scrivani <etscrivani at verizon.net>
Subject: Re: [Diabetes-Talk] More On Dexcom Coverage.

I agreedd to not a thing. They told me they would look into it and I ask that they get back to me one way or the other with what Medicare has to say.

I clearly need to use the app and I refuse to lie or commit purgery to get a device that should be covered for me. And if I did lie about not using the app then the end result could not only be that I’d wind up owing Medicare a boat load of money back, but more importantly, there is a potential risk of losing my health insurance coverage. Something I will never put on the line. Dexcom should fight this battle for people if they want there device to sell.

Eileen

From: Tamera via Diabetes-Talk 
Sent: Monday, August 28, 2017 8:14 PM
To: 'Diabetes Talk for the Blind' 
Cc: Tamera 
Subject: Re: [Diabetes-Talk] More On Dexcom Coverage.

The last time I was sent sensors while awaiting the Medicare verdict... I was told it was in negotiations over a meter and strip being part of the deal. So, the info today supports that.
So, did you say you will only use receiver and no app under the Medicare agreement?
I am type 1, totally blind, live alone and have "NEVER" even attempted the receiver.
Tamera

-----Original Message-----
From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Eileen Scrivani via Diabetes-Talk
Sent: Monday, August 28, 2017 5:03 PM
To: Diabetes Talk for the Blind <diabetes-talk at nfbnet.org>
Cc: Eileen Scrivani <etscrivani at verizon.net>
Subject: Re: [Diabetes-Talk] More On Dexcom Coverage.

That’s interesting. When I spoke with them last week, I was told I’d be sent a box with 4 of the inserts that I believe are the CGM, a transmitter that connects to the monitors, and 1 receiver. They did not say a thing about test strips or glucose monitor. Are you 100% certain that the testing portion is a get it like it or not situation?

This sucks!

Eileen

From: Tamera via Diabetes-Talk 
Sent: Monday, August 28, 2017 6:18 PM
To: 'Diabetes Talk for the Blind' 
Cc: Tamera 
Subject: Re: [Diabetes-Talk] More On Dexcom Coverage.

I just got off the phone with Dexcom, and here is more...
You do have to state you are not using an App, in fact she said if Medicare checks and you are, they will not cover your supplies. In fact you are making a legal statement you will not use an app with the Dexcom. 
Secondly, we get a meter and strips with each month supply of sensors. not accessible. So, I would guess Medicare will no longer cover my Prodigy strips either and monthly send me BS I will not use.
Wow, where is the justice in this.
Tamera

-----Original Message-----
From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Eileen Scrivani via Diabetes-Talk
Sent: Friday, August 25, 2017 6:17 AM
To: NFB Diabetes Talk <diabetes-talk at nfbnet.org>
Cc: Eileen Scrivani <etscrivani at verizon.net>
Subject: [Diabetes-Talk] More On Dexcom Coverage.

Hi All,

Thought I’d just let you know what nonsense I’ve gotten from Dexcom. 

A few days ago I told you a rep from the company called me back saying that Medicare forces sighted insureed to use the Dexcom receiver and not the phone app and that a blind person who would need the phone app would be able to use it and be covered. Well, yesterday, I got another call from a different Dexcom rep ready to start the paperwork and initial phases for applying to insurance to find out what my coverage would be. As the form was being read off to me, the rep read off the Medicare statement that Medicared insured persons are not allowed to use the phone app, so I stopped the guy and explained my situation and what I was told only a day or two prior.

I then got put on hold while he went off to confer with a supervisor. And guess what? – It appears that people who are blind and covered by Medicare may or may not be covered. Dexcom cannot give a definitive answer to my questions. They are looking into it and I asked they get back to me no matter what the outcome.

Truly very frustrating that they don’t know.

More to follow!

Eileen

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