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

Sat Jun 17 00:20:28 UTC 2023

It's not supposed to be necessary. I've calibrated my current sensor twice. 
Veronica

-----Original Message-----
From: Diabetes-Talk <diabetes-talk-bounces at nfbnet.org> On Behalf Of Amy Ruell via Diabetes-Talk
Sent: Friday, June 16, 2023 3:51 PM
To: Diabetes Talk for the Blind <diabetes-talk at nfbnet.org>
Cc: Amy Ruell <womantech at gmail.com>
Subject: Re: [Diabetes-Talk] What a pain Medicare is!!

Hi all,
An update! My healthcare practitioner decided that she would document that I’m taking insulin, even though I’m not. She put the prescription for the Dexcom through to the pharmacy. I just got off the phone with the pharmacist who said that Medicare is demanding that the prescription for the Reader be ordered first. Of course, I’ll never use the Reader, it’s probably just another expense! However, I’ve just emailed the  The practitioner and asked her please to put through the prescription for the Reader! More craziness! At least, I finally got someone who’s willing to do what it takes to hopefully get me the equipment I need. By the way, when I spoke with her, I asked about the calibration and she said that it’s not necessary with the Dexcom G7. Is that accurate? Thanks. 

Sent from my iPhone

> On Jun 16, 2023, at 1:33 PM, gary via Diabetes-Talk <diabetes-talk at nfbnet.org> wrote:
> 
> LOL, to your comments veronica. You got me laughing this morning.  
> 
> -----Original Message-----
> From: Diabetes-Talk <diabetes-talk-bounces at nfbnet.org> On Behalf Of Veronica Elsea via Diabetes-Talk
> Sent: Friday, June 16, 2023 9:46 AM
> To: 'Diabetes Talk for the Blind' <diabetes-talk at nfbnet.org>
> Cc: Veronica Elsea <veronica at laurelcreekmusic.com>
> Subject: Re: [Diabetes-Talk] What a pain Medicare is!!
> 
> Amen to that, Amy. I can't seem to get test strips right now. I hate all of this mess, if your hair is red, you buy stuff through Part B. If your mother is Irish, you use Part D. If you're running out of supplies, too bad! <grin> Since so much stuff has been moved to part B, and nobody understands which pumps are really pumps under Medicare, my local pharmacies won't do all of the extra Part B paper work. Why should we need so many prior authorizations just to stay alive? Boo hoo to the agency, for sure.
> Veronica
> 
> 
> -----Original Message-----
> From: Diabetes-Talk <diabetes-talk-bounces at nfbnet.org> On Behalf Of Amy Ruell via Diabetes-Talk
> Sent: Friday, June 16, 2023 4:49 AM
> To: Diabetes Talk for the Blind <diabetes-talk at nfbnet.org>
> Cc: Amy Ruell <womantech at gmail.com>
> Subject: Re: [Diabetes-Talk] What a pain Medicare is!!
> 
> 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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