Hello Juvenation Buddies =)
I have a dilemma.
After researching insulin pumps, sampling and trying to decide which pump fits into my life the best, I decided on the Omni Pod. I tried the dummy pump and absolutely loved it. I took all the crash courses on their website and I am so excited to start on it. Then I heard the brakes squeal in my brain and realized there is one problem...INSURANCE COVERAGE.
I called my insurance rep and she said that the Pod is not considered a "formulated prescription" (I think that was the term she used--correct me if I'm wrong!). So they will not cover it. DARN IT!! WHY NOT?!?!? She said that the only chance I have is to have my doctor fill out a narrative on why I need it and how it will be a success for me THEN, they may or may not cover it. The rep said that she had seen it go both ways, but there is no way to predict it.
Everything with the Omnipod is perfect for my lifestyle--I am a watersports person, a snowmobiler, a horseback rider, a motorcyler, and a 'tosser-turner' when I sleep. The Pod JUST WORKS for me. I just got diagnosed with T1 this past October and I have been striving to make my life a little more like it was...and getting the Pod would definately help with that. Ok....getting a bit dramatic here, but you know what I mean.
My question is....has anyone had this same problem? Did your doctor's narrative work? HELP PLEASE!!!
You guys rock and I ALWAYS appreciate your input and advice...I appreciate it. Take care.