Wednesday, July 22, 2015

HMO Experience So Far

1. When I went to get my insulin, test strips, and syringes at Walmart, my insurance paid 100% of the syringe cost (450 free syringes!), and 0% of the test strips and insulin. I spent $170 buying two vials of R and 500 Relion Prime test strips.

2. I called Dexcom to see if my insurance would pay for sensors. They said yes, BUT I have to go through EdgePark.
I called Edgepark. They said my insurance would cover 100% after a $200 deductible, however, we needed a new letter of necessity from my endo. I asked if they needed a referral for the endo. They said no.
A week later I got a call from my endo's office saying that they'd tried to write me the letter of necessity but were told I needed a referral. They'd tried to get the referral themselves, but were told I needed to get it myself.
I called the clinic that I listed as my primary care providers. They said usually you have to come in in person, and it takes 2-3 weeks to get a referral, but they'd leave a note for my provider.
Two days later- on a Sunday- I got a call from my provider asking me what was going on. I told her. By the end of the phone call she had faxed a referral to the endo.
On Tuesday EdgePark called to say that I needed a referral and asked what the phone number of my primary provider was. Hahaha! Ahead of you, edgepark. Way ahead of you.

Anyways, after three weeks of this ball game I've used up my sensors. Don't know how long till I get any.