Ok, I’m gonna rant a little but still want to know what others think.
Alrighty then. As a T1D, we are required to monitor our blood sugar regularly each day. This is a given. If you have a CGM, it has to be calibrated. In my case with two test readings 12 hours apart. And we are supposed to check levels in cases of supreme highs or excessive lows by testing, manufacturers statement. Everybody following me so far?!
Why is it that I have to fight the insurance to approve the appropriate number of test strips that I have to use each day?
They currently have only approved me to have 100 test strips for a 3 month prescription.
Simple math here. Average month 30 days. 4 test strips per day ( bare minimum). 30 x4= 120 per month Right!
3 x 120= 360 total test strips Right!
Dr asks for 400 test strips for three month Rx. I get denied when last year I was approved for that very amount. Now I have to appeal and yada yada. To see if I can get this fixed or I’m gonna have to pay for the strips outta pocket.
Now I did not change insurance carriers. I have Medicare with the Blue Cross supplemental insurance.
Why the hell do I even have to be approved for test strips every year?
I use the same equipment. Dexcom G5. All that changed was the calendar. I’m still T1D, nothing changed, and yet I can’t even get approved to calibrate my equipment with enough test strips. This not even enough test strips, if I did not have the cgm. Then I would need minimum of 5 test strips per day!
Does the insurance not realize that it’s cheaper for me to use 50 test strips a day than one hospital visit? Retail cost of test strips is under $2.00 each. We all know there is a mark up on this. Most probably the markup is around 2.5 times the actual cost of the item! Why in the world should this be an issue???!
I have wet Maclear degeneration. The cost of the medicine (Ilea), is $4000.00 per injection, per eye. For the medicine only! No dr fee, office visit, nada. Insurance covered this and still covers this without any argument at all for the last4 years!! But I can’t get enough test strips to literally keep myself alive on a daily basis?
Anybody else have this issue? If so, let me know please?
Thanks for “listening”.