Join our community of helparound

Who has insurance through the market place not their company and if so do the cover pump supplies and cgm? I'm going to be shopping the market place and just curious. I'm aware that United Health care is horrible. Thank you

9 Answers
I'm a mom supporting a child with type 1 diabetes since 2010.
Dallas, GA
****I am wondering the same. I'm worried they won't cover my daughter's pump and supplies. At the moment I'm leaning towards BCBS or Kaiser

I had BCBS of IL through an employer and both Dexcom and Omnipod were covered by pharmacy benefit with 3 months delivery from express scripts. But then I was laid off and signed up for insurance directly through BCBS of RI and only Omnipod has discounted coverage as a prescription while Dexcom is very expensive through the medical durable goods and only would be affordable after the deductible is met (which I won't meet this year). Be careful of prescription plans with Tiers of drugs at different costs. One plan had drugs that would cost full price until deductible is met so cost would be $1,000 for my sons dermatology medicine while under a different plan would be $30. My current plan is expensive per month (over $1,000 for family plan) but it's intended to almost giveaway preventative medicine like insulin is $2 for a months supply. Too bad they don't understand a CGM (Dexcom) is also preventative care and keeps me out of an emergency room. I'm currently requesting a waiver to get discounted cost for Dexcom but no luck yet.

I'm a mom supporting a child with type 1 diabetes since 2010.
Dallas, GA
Thank you so much for all the information!! I will be diligent when looking at plans now. I wish they understood that if we could afford to pay that we would just buy the supplies! This is NOT optional care! And I agree with the sensors. My daughter had terrible middle of the night lows that if I had, God forbid, slept through my alarm could have been deadly

Halfway, MO
Through the Market place I got on Anthem blue cross and they have different plans for what your income is ... I know they cover the CGM an will be finding out the cost this week an I'm pretty sure they approve the pumps as well... I hope this helps

Living with type 1 diabetes.
Indian Trail, NC
I sure do think that helps! I just lost my job and im in panic mode right now.

Living with type 1 diabetes since 2017.
Houston, TX
I got insurance thru the market place and was able to get my omnipod and dexcom with it. I didn't pay out of pocket, but I also had met my out of pocket maximum of ####$

I'm a mom supporting a child with type 1 diabetes since 2013.
Unknown Location
I have united health care for my daughters 2nd insurance They have paid for her animas ping, vibe and dexcom with no problems

**** if you lost a job and had insurance through the employer you should be able to sign up for COBRA and continue with same insurance at least through end of the year if not longer. I lost my job in March and got new insurance but if you have already paid a lot toward a deductible it might make sense for you to use the COBRA option even if it's expensive for each month if you meet your deductible with existing plan you might be ahead vs starting a new plan immediately.

I'm a mom supporting a child with type 1 diabetes since 2010.
Dallas, GA
**** I'm wondering if you've gotten any new info here in GA.?