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Re: [IP] insurance recourse?
Don't give up. I screamed for two years. I finally threatened to change
doctors. That did it, although I got the response that it was only another
way for me to slip and slide! I am much better on the pump. Ask the pump
reps if they know any doctors in your area who would recommend pump
therapy and see if you could switch to them. If your dr. won't, then find
one that will allow and go to bat for you. If they scream at the insurance
that you need tight control, then maybe the insurance would give in. A
pump is cheaper than bypass, kidney transplants,etc.,etc. What is that
about noisy wheels? So squeak on and keep us informed. Good luck, Roz
On Mon, 19 Jan 1998, Dddye wrote:
> I am doubly insured. One through my employer, the other through my husband's
> HMO Kaiser. My doctor at Kaiser says No. She can't do it because I am too
> controlled for the pump. Even though I am having AM blood sugars form 160 to
> 250 every morning. She also will not prescribe ACE inhibitors that might also
> help as well. I am already on a very restricted diet and exercise. They only
> give the pump to people who have really terrible A1c's.
> My other insurance first said wha tis the HMO doing about it, and then said
> they do not cover the pump or its supplies at all. They also said that if the
> Hmo won't pay for the ACE inhibitors they won't either.
> Nice huh? Unless I win 10 million dollars there is no way that I would be able
> to afford either, even though I know that I am better off with the pump.