Re: [IP] Medicare and test strip payment issue
I feel really fortunate now. All I do is fill out a log sheet w/28 days of
results for Medicare. They average the number of tests I do a day & send the
strips to me thru my mail order pharmacy. I get 19 boxes of 50 ct boxes for
three months. That's a whole lot more than 3 strips a day!
Lisa Ann & Velvet
T1 '70/IP '89
MM523
Sent via BlackBerry by AT&T
-----Original Message-----
From: "John S Wilkinson" <email @ redacted>
Sender: email @ redacted
Date: Thu, 21 Jul 2011 08:07:01
To: <email @ redacted>
Reply-To: email @ redacted
Subject: RE: [IP] Medicare and test strip payment issue
Some insurances use how many times you are treated in Emergency Room for
lows.
It is less costlier to RX stripes than to pay for EM Room.
John S Wilkinson, Rome, NY
"A veteran is someone who, at one point in his or her life, wrote a blank
check made payable to The 'United States of America', for an amount of up to
and including their life." (Author unknown)
Be very, very careful what you put into that head, because you will never,
ever get it out. Thomas Cardinal Wolsey (1471-1530)
-----Original Message-----
From: email @ redacted
[mailto:email @ redacted] On Behalf Of Phyllis
Sent: Wednesday, July 20, 2011 3:14 PM
To: email @ redacted
Subject: Re: [IP] Medicare and test strip payment issue
Shirley,
As I understand it the 'allotted' number of tests/day is up to 7; not
positive about the 7. CIGNA is only paying for 3 of the 11-12 test strips I
use each day. They say I don't have enough low BG's to warrant more than 3.
I have a minimum of 10% of my readings below 60mgdl that I catch with my
hypoglycemic unawareness. I could not believe they said that number was not
enough. Wonder how many times they think I need to go low to test more than
3 times/day? This reconsideration was decided "by one nurse and one doctor"
at River Trust; for CIGNA who is the Medicare payer.
Phyllis
----- Original Message -----
From: "SM Beggs" <email @ redacted>
To: <email @ redacted>
Sent: Wednesday, July 20, 2011 2:31 PM
Subject: [IP] Medicare and test strip payment issue
> Phyllis is one person who I know has been denied payment by Medicare
> for her test strips since she tests more than 3 times per day (IP -
> June 30, 2011 email, subject Medicare ALJ case) and is going through
> the appeal process. I'm curious if there are others who have had
> their test supply order denied for payment. So if your are on
> Medicare, test more than the allotted 3 times per day and have had any
> test strip supply order denied payment by Medicare, please let me
> know. It might also help to know the region you are in - thanks.
>
> Because of my gastroparesis, hypo awareness, dawn phenomenon, etc. I
> test frequently. My supply order from the doctor is for 12 per day
> but I have tried to use less (9 seems to be ok). And with the
> thoughtfulness and help of an IP friend I have enough strips now to
> not have to worry so much about testing when needed for a while.
>
> Shirley, dx age 5, 1954; Animas 1250, Oct. 2005; Animas Ping, Sept. 2010)
> .
.
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