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Re: [IP] Re: [IPy] Frustrated



This is good to know.  If you don't want to change meters.  Walmart has
their brand, ReliOn Prime test strips, 50 per bottle) at $9.00.  I believe
it takes 10 seconds for the results.  I use them when I run out of the One
Touch Ultra.


On Mon, Apr 7, 2014 at 10:04 AM, David Jones <email @ redacted> wrote:

> One option to get around the insurance game is to buy strips from
> Amazon.com.
> I was uninsured for five months, and was able to buy 100 Contour next
> strips
> for $30 per month
>
> David Jones
> freelance journalist
> https://davidjones.contently.com
> 973-485-4153 (phone)
> 862-763-8304 (mobile)
>
>
> > Date: Mon, 7 Apr 2014 09:58:37 -0400
> > Subject: Re: [IP] Re: [IPy] Frustrated
> > From: email @ redacted
> > To: email @ redacted
> >
> > This is good information, not just when dealing with insurance companies,
> > but any business transaction, whether it be in person, online or on the
> > telephone.
> >
> >
> > On Mon, Apr 7, 2014 at 2:15 AM, <email @ redacted> wrote:
> >
> > > >  Right now, my endo writes for 8 strips a day, but insurance is
> saying
> > > >  I only
> > > > get 200 strips per copay, so I get 25 days worth for one copay. If he
> > > > wrote for ten per day, my guess is I'd get 20 days for one copay. I'm
> > > > working on this. It's hard to get the people in the endo's office to
> > > > understand what needs to be done to get the 30 days supply for one
> > > > copay. I already had to switch back to one touch from contour because
> > > > of this insurance - which is fine. Minimed supplied them under the
> old
> > > > insurance, and I didn't have to deal with a limit.
> > > >
> > > > Luckily I have a flexible savings account to help pay for stuff.
> > > >
> > > > Stacey
> > >
> > > I've done this over and over for Lily. This is what works every time.
> > >
> > > Make sure you are talking directly to your insurance company, not the
> > > pharmacy supplier. The pharmacy supplier is a 3rd party provider
> > > under contract to the insurance co. If they provide you with strips
> > > over and above WHAT THEIR CONTRACT WITH YOUR INSURANCE CO. says, the
> > > don't get paid so their not gonna do it. You must speak with the
> > > pharmacy manager (or some similar title) at your insurance company.
> > > The try hard to screen the calls so you can't reach that person but
> > > if you persist you will succeed in reaching them.
> > >
> > > 1) Make sure the doc writes specifically that you are to test 10x per
> > > day so that if they don't want to do it then they are "practicing
> > > medicine".... and you can ask the question "are you telling me what
> > > my medical care should be"? "are you practicing medicine"
> > >
> > > 2) ask specifically where in YOUR COPY of the contract of insurance
> > > it says that strips are limited to (whatever). Make sure you read the
> > > section on diabetes supplies so you can quote it back to them with
> > > the page number and paragraph number.
> > >
> > > 3) definetly appeal TWICE. Make sure you document the time and date
> > > of each contact and exactly who you speak with. There is no 3rd time.
> > > The third time goes directly to the state insurance comissioner with
> > > a complaint that your doctor has prescribed specific medical care
> > > which is covered by your policy (quote page and paragraph and include
> > > a copy) and they have refused to provide the care ... and in addition
> > > that they are practicing medicine by countermanding the doctors
> > > specific orders.
> > >
> > > Of course, the third letter will never be written because they will
> > > cave in. KEEP the records for each time you have to do this so that
> > > you can quote back to them next time, the dates, who you talked to,
> > > the dates of appeal, the outcomes, etc.... after a few time, they
> > > will probably stop hassling you because they will figure out that you
> > > are not an easy mark. I've had to do it 4 or 5 times over the years
> > > but it all stopped about a half dozen years ago.
> > >
> > > Michael
> > > .
> > > Follow us at https://www.twitter.com/insulinpumpers
> > > Make a long URL short at http://type1.org
> > .
> > Follow us at https://www.twitter.com/insulinpumpers
> > Make a long URL short at http://type1.org
> .
> Follow us at https://www.twitter.com/insulinpumpers
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.
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