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Medicare and the Pump

2812 Views 5 Replies 3 Participants Last post by  judyp
I am a 79 year old female who has been on a Medtronic minimed pump for a little over a year. I am not a happy camper. My BG is higher than ever in my 35 year illness. I have at least one "No Delivery" a week with no noticeable problem causing that. Of course, Medicare won't pay for a sensor or any other kind of pump. I would like to know how any of you pay for sensors and Tslim meters. I almost would pay for this thing myself if I could get better results. Any ideas?
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Hi Judy!

It hasn't gone into effect yet but the Dexcom G5 continuous glucose monitor has been approved by Medicare just this month.

My insurance (UHC) only covers Medtronic, but since I'm a T2 I fall into an odd donut hole where it wouldn't be fully covered. So I decided that if I'm paying, I'm getting what I want! :D So I pay out-of-pocket for both my Dexcom G5 and a Tandem T:Slim X2. I negotiate a cash price discount as best I can, and use the FSA (flexible spending account) for both my husband's job and mine to help pay for the cost pre-tax. It still doesn't cover all of it though and I am very lucky to be able to afford it.

It is really frustrating to be getting occlusion alarms so regularly. Have you been working with Medtronic to find out why? There are lots of things you can try to combat it: different infusion sets, angles, new "virgin" infusion sites, working on your insertion technique, changing sets more often, etc.
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