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Social Issues: Insurance/Costs

Our nine year old daughter was diagnosed at the age of three. We are headed into a second level appeal with our insurance company over a denial of request for an insulin pump. The committee decision to deny our request was made based on the fact that use of an insulin pump on a person of your daughter’s age is not well established.

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What can be done to make insurance companies cover the cost of insulin pens?

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Is Glucagel as effective as a using injectable glucagon in the event of a child having a hypoglycemic seizure? My HMO has dropped Glucagon Emergency Kits from its formulary.

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I have had diabetes for three years. When I turned 21, they cut off my help, and my income is very limited. Do you know of a health insurance plan that is or doesn’t cost much that I would be able to get on?

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My 20 month old son was diagnosed with type 1 diabetes at 11 months of age. We have had complete support from his doctors, but the insurance company has denied the pump four times, based on the fact that they do not give pumps to children under 13.

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Can you tell me about the CHIP program that Blue Cross/Blue Shield has?

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I am a type 1 diabetic interested in getting a insulin pump. However, my parents’ insurance won’t cover it. I will be getting out of school soon, and get a full-time job, and I want to get a health insurance group that covers pumps and supplies.

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Can you please tell me the New York state law that requires medical insurance companies to cover costs of insulin and diabetes supplies?

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Our HMO is trying to force us to use specific brands of diabetes care supplies, i.e., test meter, test strips, insulin pump, etc. Can they legally force us to use only the ones they want (which are inferior) or do we have some right that allows use the ones we think are best?

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When my 20 year old son was told he would have to go on insulin, his doctor told us my son would be an excellent candidate for an insulin pump. Is any financial aid to patients who could better control their diabetes with an insulin pump?

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