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Re: [IP] approval for pump by insurance co.

Hi Sylvia,

We have just started the process of upgrading from the htron to the cozmo.
We have had the htron for 2 1/2 years.  Although we love it,
the cozmo just has so many more features that we really could use for better
control(hopefully!).  SO how long did you have Josh's pump before you
We have no idea if our insurance will even  consider this request this
early. We have blue cross of GA.
----- Original Message -----
From: <email @ redacted>
To: <email @ redacted>
Sent: Tuesday, July 22, 2003 12:31 AM
Subject: Re: [IP] approval for pump by insurance co.

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> Becky,
>   Most insurance companies want to see a letter of medical necessity from
>  your doc to get things going. AFter that the companies all vary. If you
have a
> doc who is pro-pump or atleast pro-YOU then that is your first step.
> With Josh's first pump his endo put the request in the computer to the
> insurance company (we are retired military so we are talking a govt.
>  company) and the next MORNING the insurance co. calls me with the
approval. The
> next DAY Dis is calling us to ask what color pumps Josh wants.  The next
> they were in the mail!!!!!   NO LIE.
> For this upgrade to the Deltec, first I had to be very instrumental in
>  getting Deltec on contract with the insurance company. Once that was done
> wrote a
> letter asking about insurance co. policy to allow upgrade prior to
> expiring.  I got a phone call from the Director/MD in charge and he said
> would consider it.  Endo put in the request via the computer and two weeks
>  letter I had our approval letter. It was AFTER the approval that endo put
> the
> letter of medical necessity but by then things were in the works for the
> upgrade.
> So you see, you never know until after get things started.  If a company
> not under contract with your insurance then get the area rep with your doc
> get that company onboard.  You do NOT have to settle.
> Sylvia
> mom to Jsohua
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