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Hi everyone, do you have any recommendation? I'm looking for.anyone who has convinced their work to change their benifet plan to cover cgm. any advice or even presentations used would be appreciated.

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27 Answers
Supporting a sibling with type 1 diabetes since 1991.Array.
Waterbury, CT
Also try the EDIC study. It is the follow up to the DCCT study. Maybe your Dr can also provide a narrative letter explaining how the pump helps to reduce fluctuations which can negatively impact your productivity at work. Definitely ask them to compare the cost of the pump to one hospitalization and an ambulance ride.

Living with type 1 diabetes since 1973.
Parrish, FL
thanks Jessica...pump is covered here in Ontario by our Health system. CGM is not and not covered by my work but when renewal comes up then we can try to get it added but to add it you need compelling reasons.

Supporting a sibling with type 1 diabetes since 1991.Array.
Waterbury, CT
I'm sorry, I read it quickly. The same info may apply and there have been many studies done to show how CGM will help. Good luck!

Living with type 1 diabetes since 1973.
Parrish, FL
thanks....it took me a year to get carb counts posted at work so with benifet plan coming up for renewal in 2 yrs better start soon.

Living with type 1 diabetes since 1993.
Bartlett, TN
I would talk to your doctor office (Endo) and see if you can get a hold of the local rep for Metronic Minimed or just call Medtronic Minimed 1-800-646-4633. They are very helpful I'm getting things like that done. Just got to get a hold of the right person.

Living with type 1 diabetes since 2005.
Unknown Location
Ask your plan administrator to appeal it - if your plan covers "diabetes supplies" you may have a chance for individual consideration or a Cost Plus type program. It is possible :) (but a lengthy fight!)

Living with type 1 diabetes since 1973.
Parrish, FL
R - no appeal...when denied cgm i talked with the insurance directly and the hr person in charge of benifets. our plan does not cover cgm period. the only way to change that is when plan is up for renewal and to get it added at that time.

Living with type 1 diabetes.
La Crosse, WI
my plan doesn't cover mine at all either but I appealed 3x and the denial was just overturned and my order gets shipped by end of week! I fought for it since April!

Living with type 1 diabetes since 1973.
Parrish, FL
how Jennifer?

Living with type 1 diabetes.
La Crosse, WI
I just wrote the insurance that I was appealing their decision. I had to go in front of a grievance committee twice and then an administrative law judge the third time. maybe things are different in CAN than here in the US?

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