[Diabetes-Talk] What a pain Medicare is!!

[Amy Ruell]

I totally agree. I have been fighting to get a CGM as I cannot use fingersticks reliably. Apparently, I’m just not sick enough, as I’m not on insulin and don’t have blood sugar loves. I am stuck between a rock and a hard place. I can’t appeal a denial until a supplier sends my information to Medicare, and none of the suppliers will do it, because they know that Medicare will refuse. we really need to advocate for legislation on this. This is so backwards to the way it should be. Our health is compromised and we could be so much healthier and could decrease our use of funds if we had this technology available before we progressed to needing insulin. 

Sent from my iPhone

> On Jun 15, 2023, at 10:00 PM, blindhands--- via Diabetes-Talk <diabetes-talk at nfbnet.org> wrote:
> 
> The new Medtroonic pump is approved, but new Medicare is making us wait
> longer.
> 
> 
> 
> I received my pump last August and was told I would be eligible for the
> upgrade free when the FDA approved it.
> 
> 
> 
> I contacted the my endocrinologist  and asked for a new prescription for the
> new sensors and after waiting for 3 weeks I heard back from the office
> basically telling me they put a note into the Medtronic trainer requesting
> him to contact me.  Well I had already called him last week and I was told
> he put in for the upgrade.  He wanted me to contact him when  I received the
> upgrade & new sensors.  That was last week's report.  
> 
> 
> 
> This week he told me I probelly would not get anything or hear grom them
> until the end of August.  The reason for the delay is Medicare needs to come
> out an insurance code for this.
> 
> 
> 
> I complained that the upgrade was "free" so why did they need an insurance
> code &  I was told that is Medicare and I should visit "Love Medicare".
> 
> 
> 
> This stinks.  Why can't Medicare and the FDA  work together with insurance
> codes and approvals.
> 
> 
> 
> Joyce
> 
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