[Diabetes-Talk] Dexcom and Medicare.

jamielgurganus at gmail.com jamielgurganus at gmail.com
Sun Mar 10 23:52:30 UTC 2019 

As a former nurse prior to losing my eyesight, filling cartridges is not something I can't do.  However, when I was getting large air bubbles that were causing the pump to have delivery issues, my diabetic educator told me about the cartridge filling program at Midwest in Minnesota.  I hate to rely on family or friends to do something for me, so this program was great.  I sure hope I can continue using them.  

				Jamie


-----Original Message-----
From: Diabetes-Talk <diabetes-talk-bounces at nfbnet.org> On Behalf Of Veronica Elsea via Diabetes-Talk
Sent: Sunday, March 10, 2019 5:53 PM
To: 'Diabetes Talk for the Blind' <diabetes-talk at nfbnet.org>
Cc: Veronica Elsea <veronica at laurelcreekmusic.com>
Subject: Re: [Diabetes-Talk] Dexcom and Medicare.

Hi Jamie. All paws crossed that Humana will do the right thing and cover the G6 for you. Boy, we shouldn't have to fight this hard just to take care of ourselves.
And I'll be happy to share the cartridge-filling wisdom with you and anyone who wants it. After all, someone gave it to me. Maybe I'll have a stab at writing it down. 
Funny how attempts at doing something have such violent language, isn't it. Have a shot at something, take a stab at something. Boy, our language is killing me. <laughing!> Stay tuned!
And of course, if any of us don't feel comfortable filling a cartridge or any other little thing, we sure deserve options. Diabetes management has to work for each of us as individuals, not just in a way that's easier for the clinic staff, or the way one other person does it. Okay, rant over. <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: Sunday, March 10, 2019 1:40 PM
To: Diabetes Talk for the Blind
Cc: Jamie Gurganus
Subject: Re: [Diabetes-Talk] Dexcom and Medicare.

Veronica,


You will have to write to me and tell me how to avoid bubbles then. 

I was able to get the G6, because my Medicare was supplemented by my now ex-husband’s Blue Cross Insurance. I started being covered by Humana on March 1.

    Jamie

Sent from my iPhone

> On Mar 10, 2019, at 3:26 PM, Veronica Elsea via Diabetes-Talk <diabetes-talk at nfbnet.org> wrote:
> 
> What I've been told is that Dexcom will start coverage in April. For 
> G5 users, they will automatically upgrade when it's time for a new transmitter.
> As for how I got on the VIP, honestly it was because I made so much 
> noise and found their Medicare rep. I also got word to my local Dexcom 
> rep and made sure my endo had all of my paperwork in. I doubt you 
> could get on the program now because it's so close. I was told back in 
> January that I was on the program but I didn't assume it was true, 
> given how everything else was going.
> And yes, the people who have been getting the G6 covered have been 
> getting it because either they were on certain Advantage plans or 
> their supplemental insurance covered it. I still can't believe what it 
> was that we all waited for, though.
> As for cartridges, I have always filled mine without assistance and 
> when someone has looked, no bubbles. They're pretty easy to hear. It 
> turns out to be a good thing because there's no way I could prefill 
> the syringes for the Omnipod. I'm glad that this wasn't a new 
> experience for me along with every other aspect of using this pump.
> But I think anyone who wants prefilled cartridges should always be 
> able to get them, if the pump in question uses them. Oh, and credit 
> where credit is due. It was Ed Bryant who really taught me, over the 
> phone, how to avoid getting bubbles. I then made some adaptations to 
> work with the Disetronic pump and the trainers liked it so much that 
> they wrote my instructions into the manual for all users. I actually 
> saved that manual, which has a braille label on it saying, Thanks Ed Bryant.
> 
> 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: Sunday, March 10, 2019 11:26 AM
> To: 'Diabetes Talk for the Blind'
> Cc: jamielgurganus at gmail.com
> Subject: Re: [Diabetes-Talk] Dexcom and Medicare.
> 
> Thanks Bridget!  I'm hoping Midwest can still fill mine.  It sure has 
> been nice receiving a weekly supply of cartridges for all of these 
> years.  I keep them in a Tupperware container in the refrigerator  and 
> just have to grab one when I need a new one.  I always have a surplus, which is nice.
> 
>                Jamie
> 
> 
> -----Original Message-----
> From: Diabetes-Talk <diabetes-talk-bounces at nfbnet.org> On Behalf Of 
> Bridgit Kuenning-Pollpeter via Diabetes-Talk
> Sent: Sunday, March 10, 2019 1:16 PM
> To: 'Diabetes Talk for the Blind' <diabetes-talk at nfbnet.org>
> Cc: Bridgit Kuenning-Pollpeter <bkpollpeter at gmail.com>
> Subject: Re: [Diabetes-Talk] Dexcom and Medicare.
> 
> Jamie,
> 
> I used to fill my own cartridges, but I've found that with the 
> Medtronic resevoirs, they are incredibly sensitive to air bubbles. 
> Sighted people have a lot of difficulty filling them, so I'm no longer comfortable filling them.
> I usually have a sighted family or friend fill several at a time. But 
> the difficulty they all have, including my nurse educator, makes me 
> very uneasy to do it myself.
> 
> Bridgit
> 
> -----Original Message-----
> From: Diabetes-Talk <diabetes-talk-bounces at nfbnet.org> On Behalf Of 
> Jamie Gurganus via Diabetes-Talk
> Sent: Sunday, March 10, 2019 12:38 PM
> To: 'Diabetes Talk for the Blind' <diabetes-talk at nfbnet.org>
> Cc: jamielgurganus at gmail.com
> Subject: Re: [Diabetes-Talk] Dexcom and Medicare.
> 
> Thanks Veronica!  So, I now have coverage through Humana, since I have 
> Medicare and needed a plan for prescriptions.  Since I am under 65, I 
> had to go with the Humana Advantage Gold plan.  As I am contacting 
> everyone with my new insurance information this is what I am finding:
> 
> Medtronic doesn't accept Humana, so I had to find a supplier that does.
> They are currently verifying benefits and will need all of that 
> information from my doctor.
> 
> Diabetes Supply Center of the Midlands where I had to get my Dexcom 
> supplies through after going on Medicare does not accept Humana, so I 
> am back with Dexcom.  They told me that they are allowing those who 
> are already using the
> G6 to stay on it, since they don't want to see us go backwards for one 
> month or so.  I was ready to go back to the G5, so I at least had a 
> CGM.  I could have kissed that guy for telling me this.  They are also 
> verifying benefits and requesting documents from my doctor.
> 
> I'm still in the process of calling places with my new insurance 
> information, and I am anticipating that more places will give me issues.
> For example, I use Midwest Pharmaceuticals to get pre-filled insulin 
> cartridges.  I've used them for 19 years, and I sure hope they accept 
> Humana and vice versa.  I suppose I can join the rest of you in 
> filling my own cartridges.  I started with Midwest when I was getting 
> bubbles in my cartridges that were causing problems with the infusion 
> of the insulin.  My kids are older now and able to check for me, if 
> they are home.  My son may not be able to see the bubbles, since he 
> has low vision himself.  Oh well, I'll find out the answer tomorrow.
> 
> My endo's nurse is probably cursing me right now, since she needs to 
> send all of these places the information Medicare needs to get started 
> with a provider.
> 
> Glad things worked out for you Veronica!  If anyone else has Humana, 
> I'd appreciate any words of wisdom right now!
> 
>                Jamie
> 
> 
> -----Original Message-----
> From: Diabetes-Talk <diabetes-talk-bounces at nfbnet.org> On Behalf Of 
> Veronica Elsea via Diabetes-Talk
> Sent: Sunday, March 10, 2019 12:12 PM
> To: 'Diabetes Talk for the Blind' <diabetes-talk at nfbnet.org>
> Cc: Veronica Elsea <veronica at laurelcreekmusic.com>
> Subject: [Diabetes-Talk] Dexcom and Medicare.
> 
> Hi everyone.
> Well, Dexcom is slowly beginning the roll-out of Medicare coverage for 
> the G6. I managed to get myself on the VIP list and just received my 
> first Medicare kit.
> When you place your order, they ask you 8 questions. Most of them are 
> kind of stupid, but that's Medicare. But question 8 is whether or not 
> you'd be willing to use the receiver in conjunction with your phone. I 
> said no, and the Dexcom guy said I'd need to say yes here. I then 
> asked if this was being enforced. He said it wasn't. So I lied. I sent 
> a note to Dexcom's Medicare representative about this because I was 
> concerned that other blind people may not know this.
> I did receive my first shipment. Boy is the packaging cheaper. The 
> print manual is a bunch of pages in a bag rather than a nicely bound 
> manual. The transmitter box fell apart when I was trying to figure out 
> where the serial number was and how to read it. And everything says 
> all over it, Medicare Medicare Medicare. For use only by Medicare 
> recipients. Boy that's saving money all right. Why do they have to 
> have their name all over everything and make companies package things in separate boxes just because it's Medicare?
> Dumb!
> And on Friday night, my first two sensors failed. After I called, 
> Dexcom said, we'll send out Medicare sensors. I couldn't help myself. 
> I want Dexcom sensors. I asked if the sensors were different. The guy 
> kind of tripped all over his words and said they weren't. I'm 
> beginning to wonder. I hope they are. In the meantime, good thing this 
> last sensor managed to work. Sheesh! I can't believe I paid cash for 5 
> months while they negotiated this for a contract. Our government could 
> have saved a ton of money if they'd just let the coverage of the G6 
> begin when it was approved by Medicare last July. My previous sensors 
> didn't say Anthem all over them so why does Medicare have to do this?
> Anyway, please help spread the word about question 8. I'm trying to 
> get people to work on fixing this but in the meantime, I don't want 
> any blind person to be discouraged from, or denied using the Dexcom 
> for this stupid reason. Thanks.
> 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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> 
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