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Re: [IP] Insurance opinion needed

I used to use Partners of North Carolina.  My DME was 80% but it covered 
everything for my pump at that amount.  My prescriptions were under a 
different part of the plan and I did have a $20 co-pay.  You should get 
your pump supplies at the 100% if that is what your DME states.  HTH  :-)


Alderson Arts wrote:

>    I have been told by my CDE that I should be getting a pump in about six
>weeks. She said to check my co-pay. I looked over my insurance information and
>found that durable medical equipment is covered 100% (Lucky me, believe me I
>know because I have been without insurance). Anyway, it also says that
>supplies needed to run the equipment like oxygen hoses, masks, etc for oxygen
>tanks are covered too. So, does this mean that my infusion sets will be
>covered 100% without any co-pay? After all an infusion set is needed to run
>the pump.
>    I was wondering if anyone else has there insurance worded like mine, and
>what you have found out. I could call my provider but will wait until I get a
>couple of opinions first. My experience with customer service with my provider
>has been half positive half negative. I have Blue Cross Blue Shield Community
>Blue (HMO) of Pennsylvania a part of Keystone Healthplan West.
>    I'm not trying to be cheap as far as co-pays go it is just that I have
>other meds where I have $20.00 co-pays because only a brand is available.
>Which brings up another question. Why do we have to pay the brand co-pay when
>only no generic is available? It's not like we have a choice and are going for
>the brand.
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>send a DONATION http://www.Insulin-Pumpers.org/donate.shtml
for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
send a DONATION http://www.Insulin-Pumpers.org/donate.shtml