We've had our battles in the past and have come out on top, with the most recent being a pharmacist boo boo that took 6 days to fix. Yes 6 days until we had in hand all our monthly diabetic supplies that keep Clifford alive. They were lucky that I make sure to stockpile and had all that I needed to get us through until the pulled their heads out of their bums and fixed the error.
So now this time it's the insurance. We asked about getting Clifford on a CGM because he's not always feeling his lows. He will feel himself drop, but not always his lows. He is also having random lows during the night only found on random checks, not scheduled ones.
This mama needs some sleep and so does our T1D. Just something to put our mind at ease a bit and help with these random drops. So what are we told, "Talk to the administrator that handles the insurance claims to see if it's covered". Well the admin finally calls back about a week later to let me know "It's not covered at all, they won't cover it", however you can purchase the machine for only $1200, and the sensors are $40 a pop and need to be changed what every 2-3 days.
HAHAHAHAHAHAHAHAHAHA to you miss administrator because I refuse to be told that the insurance won't cover something I'm dead set on that my son needs. So I nicely said, "Okay you'll be hearing from me again soon" muahahahahaha (evil laugh).
Currently in the process of talking with said insurance company and having our Case Management team that handles claims that "are not covered" work on it. I'll update when things get situated. But insurance and diabetes is enough to give me a headache. It's not like a pain killer you can just deal with the pain without. Certain diabetic supplies and oh yeah INSULIN they need to what's that, yeah LIVE!
I don't understand why it has to be such a pain! But it's true that you have to be your own advocate. Good luck!
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