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

[d m gina]

Just also share you only use the phone.
Crazyness.
Dar
Original message:
> 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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