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RE: [IP] Medicare coverage of pump supplies/insulin



Is a working pancreas medically necessary? Just wondering, since you can
most closely mimic a pancreas using a pump. Do they know that a pump is the
gold standard of care? Have they ever heard of the DCCT trials and what it
says about pumps? Do they know that a pump and good control can save them a
pile of money they'd otherwise have to pay for complications?

Just asking.

Jan and Elvis

-----Original Message-----
From: email @ redacted
[mailto:email @ redacted] On Behalf Of Anne Koch
Sent: Tuesday, February 04, 2014 9:45 AM
To: email @ redacted
Subject: [IP] Medicare coverage of pump supplies/insulin

Any suggestions from those of you who have been struggling to get your 
pump supplies and the insulin for your pump covered by
Medicare Part B?

I have been retired for over a year and initially Medicare Part B 
covered the cost of my insulin pump supplies and the insulin for my 
pump.  Now I am told that the insulin pump is "not medically 
necessary".  I have completed two appeals with Medicare regarding this 
situation but without success.  I have used a pump for 13 years.
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