[Diabetes-Talk] Oh insurance mess!

G melconian gmelconian619 at gmail.com
Tue Jan 31 21:44:04 UTC 2017 

Agree with veronica assessment of he g5 mobile.  

-----Original Message-----
From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of
Veronica Elsea via Diabetes-Talk
Sent: Tuesday, January 31, 2017 1:33 PM
To: 'Diabetes Talk for the Blind' <diabetes-talk at nfbnet.org>
Cc: Veronica Elsea <veronica at laurelcreekmusic.com>
Subject: Re: [Diabetes-Talk] Oh insurance mess!

Oh Jamie, I would highly recommend upgrading to the G5 mobile. I am
completely independent with mine although sometimes I do still screw up the
tape. <grin> If I end up with the Vibe, the toughest thing I ran into was
pushing those arrow keys just at the right amount of force and speed. While
the click is definitely audible, sometimes one click can jump you several
things. That's where my practice will definitely be, well, that and
memorizing new stuff.
Not quite as tricky as the OmniPod though, where sometimes the confirm is
the right soft key and sometimes it's the middle and all sorts of fun stuff.

But that's the really weird thing about my insurance. My pump has been out
of warranty since 2009. Hello? At least I know I have the skills, desire and
persistence to advocate for myself. On one level, I want to just be lazy but
at that core level, you bet I'll go after it.
But here's a question for all of you. Sometimes I'm not the best at
advocating for something without it exacting quite a toll on me. I see many
life-long advocates who seem to have the passion but also to have a certain
detachment so they aren't so beat up in the process. Does that make sense?
I've done what I can this morning and won't know anything till at least the
end of the week. So I need to get on with my life, conserve cartridges and
hope for the best. Really? I'm really good at having fantasy discussions
with people in my head and trying to change the outcome just by thinking it.
<grin> Kind of hard on the sleep though. <grin> Jamie, they may not have
given you an argument because you had the same version of the Dexcom. In my
case, since it's a new insurance, I'm not sure that anyone told them I had
the Dexcom at all.
Anyway, thanks for weighing in, all of you. I'll let you know what happens.
In the meantime, oh please, hang in there, Klaus. That's my pump's name.
<grin>
Veronica


"Guide Dogs, First Hand", Veronica Elsea's classic album is now available on
iTunes, along with other music from her and from the Guide Dog Glee Club. 
To learn more, visit:
http://www.laurelcreekmusic.com
                Veronica Elsea, Owner
Laurel Creek Music Designs
Santa Cruz, California
Phone: 831-429-6407


-----Original Message-----
From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of
Jamie Gurganus via Diabetes-Talk
Sent: Tuesday, January 31, 2017 12:47 PM
To: 'Diabetes Talk for the Blind'
Cc: Jamie Gurganus
Subject: Re: [Diabetes-Talk] Oh insurance mess!

I'm using the G4, since that is all that was available almost three years
ago.  That is a great feature to be able to calibrate it on the phone.  I
try to do everything I can independently, so I need to check in to upgrading
to the G5.  

Thanks for the words of encouragement for the pump!  I know it is just a
matter of learning the sequences, and my 51 year old memory isn't as quick
to learn new things!  

				Jamie


-----Original Message-----
From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of
Tom Ley via Diabetes-Talk
Sent: Tuesday, January 31, 2017 2:41 PM
To: diabetes-talk at nfbnet.org
Cc: TALey at ups.com
Subject: Re: [Diabetes-Talk] Oh insurance mess!

Jamie,
Keep working on it, you will eventually get used to the new Vibe menus too,
I'm sure. 
Quick question, are you using the Dexcom 4G or the 5G? I'm using the 5G and
can calibrate my Dexcom twice a day right through the Dexcom G5 Mobile app
on my iPhone.
Tom


-----Original Message-----
From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of
Jamie Gurganus via Diabetes-Talk
Sent: Tuesday, January 31, 2017 3:21 PM
To: 'Diabetes Talk for the Blind' <diabetes-talk at nfbnet.org>
Cc: Jamie Gurganus <jamielgurganus at gmail.com>
Subject: Re: [Diabetes-Talk] Oh insurance mess!

Veronica,

      I'm so sorry to hear this.  I think you should appeal this decision,
since it is the only pump that is the most accessible for the blind.  After
18 years of using Accucheck pumps, I was forced to find another pump when
Roche decided to stop distributing their pumps in the U.S.  After visiting
with my diabetic educator, playing with the three available pumps and
finding the Diabetes Talk site to ask other diabetics who are blind, I came
to the conclusion that the Vibe was the best option.  I also use a Dexcom,
but I don't have it paired with the pump.  I like using the iPhone Share app
that allows me to know what my blood sugar is.  Pairing it with the Vibe
would be useless for me and would mean that I would have to input blood
sugars in to both the Dexcom and pump to calibrate it twice a day.  I'm
lucky that my kids are accessible every morning and night to put a blood
sugar in to the Dexcom, and I didn't find a need to also use the pump for a
receiver.  My insurance company did not have any issues with me getting a
new pump, since my Spirit pump's warranty had expired a year ago.  I did
have to provide a month's worth of blood sugars showing that I tested at
least four times aday.  Isn't that crazy?  Anyway, I sure hope you can
appeal and argue your case for the Vibe.  It really is a shame that
insurance would keep you from obtaining the only pump that a blind person
can use with limited sighted assistance.  I'm just two weeks  in to using my
Vibe, and I'm still struggling to learn how to do what I used to do so
easily on my Spirit.  I am fortunate to have two teenagers living with me to
help me when it doesn't do what I wanted it to do.  But, I can easily give
myself a bolus using the audible bolus feature.  Even though the Vibe
doesn't have audible beeps to let me know that I've depressed a button, the
buttons do make a slight click sound once you press them.  So, that part is
nice.  It is just learning how to blindly navigate a whole new set of menus.

Good luck, and please consider appealing the decision.  You shouldn't have
to go back  to injections after being on a pump.

				Jamie


-----Original Message-----
From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of
Veronica Elsea via Diabetes-Talk
Sent: Tuesday, January 31, 2017 1:04 PM
To: 'Diabetes Talk for the Blind' <diabetes-talk at nfbnet.org>
Cc: Veronica Elsea <veronica at laurelcreekmusic.com>
Subject: [Diabetes-Talk] Oh insurance mess!

Hi everyone!
I just found out that my insurance company denied coverage for the Animas
pump. Oops! This is what's wrong when the patient isn't involved in filling
out any of the forms. I had tried to get the Vibe and I'm pretty sure that
they denied the coverage because of the Dexcom half of the pump, which I
wouldn't need. Hahahaha, you fools, I already have it. But my endo couldn't
lift a little finger and say on the forms that I had the Dexcom and wanted
this pump because it was more useable by me. I can actually kind of do a
correction bolus on the Vibe, but definitely not on the Ping. And forms
being returned numerous times drew the process out so that I now have only a
couple of cartridges left. Yikes! My endo told me just to go off the pump.
Yeah right! So now I'm trying to get supplies for my Cozmo and hope that my
50 dollar E-bay wonder hangs in there for awhile. I was really hoping to do
the pump switch now, rather than in a couple of months when I'm scheduled
for a surgery that will mess up my life style for quite awhile. And later
this week I'm supposed to get a steroid injection which means I'll go
through my last couple of cartridges faster too. 
Of course, were I sighted none of this would be going on because this isn't
the pump I'd be getting. Anyway, I know there isn't anything any of you can
do but I appreciate you letting me rant a bit in the hope that I might get
another idea. But it's multiple factors here. Insurance companies are, well,
who they are. Doctors are in a hurry and just fill out forms without
attention to the person they affect. 
And the other stupid thing, ummm, ahem, this one was mine! Two weeks ago I
traveled and took my backup pens with me. I accidentally left them in the
hotel refrigerator. And when I called the hotel, nothing. Oops! So boy am I
stuck for now. Let the fun begin. Sheesh!
Veronica


"Guide Dogs, First Hand", Veronica Elsea's classic album is now available on
iTunes, along with other music from her and from the Guide Dog Glee Club. 
To learn more, visit:
http://www.laurelcreekmusic.com
                Veronica Elsea, Owner
Laurel Creek Music Designs
Santa Cruz, California
Phone: 831-429-6407




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