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What a load of $#!t!

Hmmmmm…. so after 6 months of fighting, and FINALLY winning “approval” for my continuous glucose monitor from GreatWest health insurance, they are refusing to pay! What the #3!!?!

I have no idea except to call a lawyer about this one. How on earth can they approve the device, agree it is medically necessary, but yet turn around and say ‘no, we don’t feel like paying for it’. How can they get away with this?!

Just had to rant. Any advice would be greatly appreciated. If you know of anyone who has been through something similar can you send them my way? I am at a complete loss what to do. Was that fight that stressed me out, made me sick, just for the amusement of some darned medical director at the insurance company?!

I’m going to go get my hair done… hopefully that will make me feel a little better. arg.

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This entry was written by Salty and posted on June 25, 2008 and filed under Challenges, Cystic Fibrosis Related Diabetes, continuous glucose monitor, diabetes, insurance.
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4 Comments so far (Add 1 more)

  1. Thanks Louise,
    Looks like you found one of my old posts! :) I actually received and started using my CGM in June of 2008. I actually offered Kerri advice on her CGM appeal (who knows if she took it or not). For everyone else who happens upon this post, I highly recommend Kerri’s blog, the one that Louise referenced. Kerri is an awesome, funny and interesting writer over at SixUntilMe (make sure you spell it right, or you will end up somewhere you really wish you never been!). Kerry is a Type 1, who also is a part of dlife (another great website).
    Check them both out!
    And thanks for the info Louise!
    Hugs to all!

    1. Salty on December 12th, 2008 at 12:00 pm

  2. You might already be familiar with Kerri Morrone’s blog, Six Until Me. She’s written a lot about her fight with her health insurance company for a continuous glucose monitor. You might want to contact her and see if she can give you any tips. Here’s a link to one of the posts she wrote about the CGM:
    http://sixuntilme.com/blog2/2008/06/the_long_road_towards_insuranc.html

    2. Louise Norris on December 11th, 2008 at 9:08 pm

  3. Hi Aspen. I found you through mybloglog. I guess you have visited my site at one time. My blog perhaps? Or at least my mybloglog profile. Wow. I have diabetes, but nothing like your problem. I hope you raise the money you need. My husband went through a lot of hardships. He had two cancers and a stem cell (bone marrow) transplant. He had a couple of years of complications but is doing downright well now! People were generous to him online for what he needed, mostly for things for the hospital more than money. But they were very very generous. I will pray that you get the money you need for pump. God bless, Krissy :)

    3. Krissy Knox on June 29th, 2008 at 4:44 am

  4. Aspen,

    I am Dean Taylor’s wife; I know that he has been in contact with you and we donated to your pump fund. I would suggest contacting the CF Foundation legal department, which is run by Beth Sulfian, an attorney with CF. She can give you some advice/assistance in this area. Her email address is bethsulfian@aol.com. You can get the legal department’s phone number off the http://www.cff.org website.

    Shelley

    4. Shelley Taylor on June 26th, 2008 at 10:45 am

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