I too had BC/BS HMO when I got my pump. They told myself and D
that I would be covered at 100%. After being plugged in for almost
a month I get a notice that they are only paying as out of pocket.
I immediately called D and wanted to send everything back ( I had 30 days
). We worked something out. Anyway, I also wrote a letter to
the Insurance Commissioner and D worked with BC/BS. Well thanks to
my letter the pump and supplies got paid for at 100% within a month.
I won this one! Ya for me. :-) Also, I got copies of
any and all documentation that D had so you may want to get that from M.
It worked for me and I hope you try and it will work for you.
ps. If you would like a copy of my letter, feel free to email
me privately and I can snail mail or attached to an email. It's in
Word 97 format.
I may have broke the record. I got my pump in two days. I have BC/BS HMO. Unfortunately there was a mix up. Minimed was told I would be 100% covered so they shipped out the pump and 1 yrs worth of supplies in September. This is February and they're (BC/BS) still trying to decide how to handle my case.