CGMS approval - some hope
Recently Kevin McMahon of Diabetech started a useful site called CGMS Central.This site's mission is
to be the resource on the web for anything about CGMS reimbursement.And on Monday the Centers for Medicare & Medicaid Services (CMS) finally approved billing codes for continuous glucose monitor systems.
In theory this means it will become a little easier to claim for these systems from your insurance company. In reality, it's not such a slam dunk. Until there is more proof that use of a continuous glucose monitor improves blood sugar control, insurance companies are not going to cover these devices as a matter of course.
While we're waiting for better coverage, if you've got any information about insurance coverage for CGMS based on your experience, do visit CGMS Central and share the information with others.
Labels: CGM, CMS, diabetes, insurance, nablopomo
posted by Bernard @ 8:51 PM
1 Comments:
My last health insurer went so far as to send out a mailing explaining that they wouldn't cover CGMS.
I've got a brand new plan this month, thanks to MASS Health Connector, as my old one hit $600/mo.
I don't know what the new one's policy is, but at least this plan will let me go to see doctors in Boston if I get something scary, while my old one made you see doctors in Springfield unless you were terminal and then you still had to fight.
That said, as much as I would like a CGMS I don't think it would be medically indicated as I don't have a hypo problem (far from it, as I have some kind of overactive counterregulatory problem that makes it a challenge to get into the 80s without a liver dump.)
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