Wednesday, November 14, 2007
O.k. So as you can tell, I was playing around with blogger today. I know the picture is huge at the top...I'm still trying to figure that out.
I still have not figured out coverage for a replacement pump.
My doctor wrote a letter of medical necessity. I talked to the corporate health benefits people. They told me that there was NO WAY that a replacement would be covered. The only exception would be if my current pump breaks. Then, it would be considered “medically necessary.”
Since I was dealing with the insurance company about the pump situation, I decided to bring up the glucagon issue again. I was transferred between 5 different people. Finally, I talked to the “caseworker” assigned to my claim. (let’s just call her Mrs. Notveryhelpful) I asked why my appeal never was approved. Mrs. N said that she just happened to be working on my claim the day that we talked. (hmmmm, I find that very hard to believe. That would be one hell of a coincidence!) She said that it was rejected. Again, I brought up the fact that it was covered last year. She was surprised by that. She jiggled around on her computer for a couple minutes and then said, “why, you’re right. It was covered last year, and should be covered now. It looks as though your pharmacist just coded it wrong. Tell them to submit it as an emergency kit.” I called the pharmacy and asked them to try resubmitting it as an emergency kit. The pharmacist said that she wasn’t sure how to do that. I gave her Mrs. N’s direct number and told them to call her directly. An hour later I received a call from the pharmacy telling me that the glucagon would be covered and ready for pickup in an hour.
I guess that I missed d blog day. I so love reading blogs of people who share this dam diabetes. And thanks to those of you who reply here, sharing kind words and/or giving me information. ☺
By the way... Happy World Diabetes Day.
The picture above is from last night. I poked my finger to test, and blood came out of an old poke hole. I hate when that happens. It makes me mad that I poked if I could have just squeezed my finger to get a drop. Of course you can see Dixie in the background.