From California, USA:
I have been a type 1 diabetic since I was 13. I am now 34 and am appalled at how the insurance companies refuse to cover certain items of necessity to make a diabetics life as normal and risk free as can be. Our insurance company has repeatedly refused to cover items of necessity. When my doctor switched me from Humulin R to Humalog, they repeatedly refused to cover it. Then they required a certified letter from him in to see if it was necessary that I be on this insulin. Why would a doctor order a drug for a patient if he/she didn't deem it necessary? Then, they refused to cover my One Touch test strips and we are still fighting with them over this. How frustrating and expensive for the diabetic! Yes, the insurance does cover some of the care, but in order for us to live a near normal and healthy life, it is almost as if the insurance companies punish us.
I know you may not be able to publish Blue Shield's name so it is placed here at the end of the letter and not used within it. My four year old is currently undergoing testing as we speak, to see if he now also has diabetes.
I agree with you completely! We clinicians spend a lot of time these days with health insurance concerns and approvals for care and prescriptions. I can only imagine how frustrated you feel.
I would suggest not being quiet about it, and contacting your insurance company about the problems you have been having. There is usually a "complaints" department. Also, depending on your state, and the home office of your insurance company, there may be mandated reimbursement for diabetes supplies. Find out from a diabetes educator in your state what is required of the insurance companies. If you have a choice of health plans, then find out which would offer the best care for you.
Original posting 18 Oct 1998
Posted to Social Issues: Insurance/Costs
Last Updated: Tuesday April 06, 2010 15:09:02
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.