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Re: [IP] Re: insulin-pumpers-digest V13 #257



 Do you have to pay the 20% upfront and have your secondary reimburse you or
does the pharmacy bill and wait for payment from medicare and your supplemental?
On Oct 31, 2013, at 11:21 AM, email @ redacted wrote:

> to the question asked about Medicare coverage of insulin. I have been getting
> my insulin through CVS pharmacies under my Medicare and secondary GHI. Look
> under the Medicare guidelines for diabetic coverage. I printed this out and
> showed it to the pharmacist at CVS it still took over a year for them to
> straighten it out and get it correct. Medicare pays 80% of insulin used in a
 > pump under part B and my secondary pays the other 20% of the contracted
amount.
> It is considered durable medical equipment by Medicare if used in a pump.If
 > Medicare pays 80% and your secondary pays the remaining 20% it should cost
you
> nothing as it does me. This of cause depends on your secondary. I also had to
> have a "role over" which no one told me as I was arguing with pharmacy and
> Medicare and secondary insurance. DON'T GIVE UP. Good luck
> 
> ----- Original Message -----
> From: email @ redacted (insulin-pumpers-digest)
> Date: Thursday, October 31, 2013 7:12 am
> Subject: insulin-pumpers-digest V13 #257
> To: email @ redacted
> 
>> 
>> insulin-pumpers-digest Thursday, October 31 2013 Volume 13 : 
>> Number 257
>> 
>> 
>> 
>> PLEASE edit the subject line of your reply messages.
>> ####################################################
>> This issue of the digest contains:
>> RE: [IP] New 530G and Enlite sensor 1st day
>> Re: [IP] Killing me slowly
>> Re: [IP] When an insulin vial breaks!
>> Re: [IP] Insulin for use in pump via Part B medicare
>> [IP] Apidra coupon for no copay
>> Re: [IP] Rr: pump clips
>> Re: [IP] Rr: pump clips
>> Re: [IP] Insulin for use in pump via Part B medicare
>> Re: [IP] New 530G and Enlite sensor 1st day
>> [IP] re:Type 1 Diabetic and Obamacare
>> Re: [IP] When an insulin vial breaks!
>> [IP] re: Insulin for use in pump via Part B medicare
>> Re: [IP] Type 1 Diabetic and Obamacare
>> Re: [IP] Type 1 Diabetic and Obamacare
>> Re: [IP] Type 1 Diabetic and Obamacare
>> RE: [IP] When an insulin vial breaks!
>> Re: [IP] Re:T1 Diabetes cause
>> Re: [IP] New 530G and Enlite sensor 1st day
>> Re: [IP] Re:T1 Diabetes cause
>> [IP] Omnipod red welts/protective silicone
>> Profile of Debbie CrozIer 
>> Re: [IP] Rr: pump clips
>> Re: [IP] Insulin for use in pump via Part B medicare
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