Hi, all. I've never posted here before, but on some occasions when I've really needed to have my experiences validated, reading through this site has helped remind me that I'm not the only person in the world going through any of this. But now I'm crawling out of the woodwork, hoping for a slightly different kind of help...
I got a letter from my insurance company the other day saying that they are going to implement a "supply limit" for test strips effective January 1. They didn't even say in plain English what time period this random number of test strips would apply to. But if I'm reading correctly, it would come to about six test strips per day, whether I get a month's supply at a time or 90 days through the mail-order pharmacy. I have been testing more like ten times a day for several years, which my endocrinologist has somewhat grudgingly agreed to write prescriptions for, and I don't think I could swing paying the difference out of pocket.
Am I crazy to be testing this often? It's not like I'm asking them for extra vicodin (I wish!). A decade ago when I was diagnosed, I was told to test four times a day - is that still the party line? - but I'm at a point where I can usually figure out how to fix something that's off. I prefer to know what's happening before and a few hours after I eat, and test a few times as the night wears on to see if I'm stabilizing at a good place before bed.
My a1c has been around 7.0 for several years now - in the low 7s the last couple of times, but it's also been as low as the mid 6s several times before that. I know some would say that's not great, but it's better than when I tested less frequently. I can't imagine going back now. I'm a little ashamed to admit I've never bothered to research if my current insurance would cover CGM (truthfully I'm vain and I already have a love-hate relationship with having my insulin pump attached to me) and maybe that's a better solution, but it seems like the same principle.
Sorry...this has turned into a bit of a rant, and I'm sure plenty of people are rolling their eyes thinking, "You have insurance, what are you complaining about?" Bottom line, anyone have any advice? The letter did say that my doctor can request a "coverage review" if we feel that I need to test more than that. Has anyone had this kind of experience with their insurance company recently? If so, has your doctor had any luck with an appeal? A part of me is hoping this is just one more bureaucratic hurdle insurance companies have come up with to keep from paying for things and it's just a matter of my doctor writing to somebody, or is that wishful thinking? It seems like a doctor writing a prescription would be a strong enough endorsement for a particular dosage in the first place...
I actually just had to get a new 90-day prescription from my doctor days before I received this notice, which hopefully the insurance company will honor prior to the new year, which should buy me some time to sort this out - so I'm not panicking, yet.
Thanks for any advice/info.