[Diabetes-Talk] Somebody ground me, please?

[Vincent Chaney Jr.]

Veronica and fellow pumpers,

The following document from the CMS.gov describes diabetes supplies and equipment by Medicare. The wording of "insulin for an insulin pump" may have to be included. A few years ago Medicare broke diabetes into multiple codes without informing doctors, pharmacies, or us patients. This PDF from August 2018 says we insulin pump users are supposed to be covered under Medicare Part B. A few years ago the Medicare changes put insulin automatically under part D. What I did was ask my doctor to write scripts saying insulin for the insulin pump and I spoke with my local Rite Aid pharmacy to have them change insulin to Part B noting it's for my insulin pump. I was even reimbursed for the copayment under part D when the correction was made.

Vincent

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE18011.pdf


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Sent from my iPhone

Sent from my iPhone

> On Feb 9, 2019, at 5:38 PM, Veronica Elsea via Diabetes-Talk <diabetes-talk at nfbnet.org> wrote:
> 
> What I seem to remember was a change so that under Medicare, instead of insulin being covered under part B with the pump, it's now covered under Part D as a prescription. I have no prior experience since I just started Medicare in October but my insulin is certainly under my RX policy. It just bugs me that they decide how much I need, not me or my doctor. What's next? Telling me how much to eat? 
> For me, one surprise round of steroids and my insulin needs triple. Then what? And you'd think they'd figure out that the more they try and deny people, the more doctors will try and game the system. Dear Government and/or insurance, Save money. Butt out! <grin>
> Thanks for the company here. I really appreciate it.
> 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 Bridgit Kuenning-Pollpeter via Diabetes-Talk
> Sent: Saturday, February 09, 2019 1:46 PM
> To: 'Diabetes Talk for the Blind'
> Cc: Bridgit Kuenning-Pollpeter
> Subject: Re: [Diabetes-Talk] Somebody ground me, please?
> 
> Amber and Veronica and all,
> 
> Yes, incredibly stressful. And like veronica, I've been dealing with sinus infections with both my kids, and now I'm feeling under the weather. It doesn't put me in a great mood. Throw in single-digit temps and snow, and I'm not a happy camper.
> 
> My son's school counselor has been meeting grizzly mama bear lately Long story, but we've had a lot of push-back from her on his IEP, and she's tangoing with the wrong mommy right now. I've been diplomatic but really firm, and she's encountering my mood that's no longer patient and wanting to put up with crap right now, smirk.
> 
> Bridgit
> 
> -----Original Message-----
> From: Diabetes-Talk <diabetes-talk-bounces at nfbnet.org> On Behalf Of Amber Wallenstein via Diabetes-Talk
> Sent: Saturday, February 9, 2019 3:21 PM
> To: Diabetes Talk for the Blind <diabetes-talk at nfbnet.org>
> Cc: Amber Wallenstein <amber.wallens at gmail.com>
> Subject: Re: [Diabetes-Talk] Som