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In reply to the discussion: Medical Insurance [View all]

Ms. Toad

(38,508 posts)
39. Interesting.
Fri Mar 6, 2026, 02:38 PM
Friday

My spouse uses Libre3+ It only has two components - sensor+transmitter combined (replaced every 14 days), receiver (replaced every 5 years - but we're using the phone app).

It was a nightmare getting it set up because of the doctor's office screw up, the pharmacy screw-up, and the (almost) DME provider screw up (that one would have cost us $1800).

I hate dealing with insurance. I'm good at it, but it doesn't make it fun. I once spent 200 hours fighting them over what ultimately was a $100 bill. I won, as I have every battle I've chosen to fight. (That one was based on principle - and trying to fix the system for others who could easily be caught in the same tangled web I ended up in.)

Good Luck. Do make sure that the pharmacy is billing under DME. That was the pharmacy screw-up in our case - they always default to prescription coverage for diabetes supplies, and don't even bother to try the medical. It is usually covered under both, and nearly always cheaper (in many instances free) as DME. The Part D coverage declined the CGM - under Medicare (unlike ever other plan I've been on) it is exclusively covered under the medical portion of the plan.

How is the reliability of the Dexcom system? We've had to replace 3 sensors (out of 6) early because of sensor failure. If this keeps up, I'm going to push my spouse to consider a different system. Abbott is currently under an FDA warning letter for failure to perform quality assurance checks at the proper times to ensure quality.

ETA: My spouse was on my insurance until she hit 70 and I retired.

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Medical Insurance [View all] LuckyCharms Friday OP
We really need nationalized healthcare. The situation has been dire for a long time. Clouds Passing Friday #1
It's so bad, Clouds Passing. LuckyCharms Friday #3
It is disgusting beyond belief. A massive conspiracy and even bigger scam to commoditize people's health. Clouds Passing Friday #5
Terrible. You deserve better, Lucky. True Dough Friday #2
Took 10 minutes just to get through the AI prompts LuckyCharms Friday #4
God..those AI prompts are the worse jfz9580m Friday #16
All the insurance companies are proudly announcing they're using AI haele Friday #6
No one should be profiting of our healthcare leftstreet Friday #7
''I don't have the words to express my fucking anger.'' Donkees Friday #8
I'm sorry Lucky Charms. This should not be this way. HeartsCanHope Friday #9
We had a problem with CGM AverageOldGuy Friday #10
That would be the receiver... LuckyCharms Friday #21
We can only transmit from the sensor to one device. Ms. Toad Friday #30
I just got a bill AFTER insurance for a simple echocardiogram, $1300. BCBS Maru Kitteh Friday #11
That's EXACTLY how I feel...defeated. LuckyCharms Friday #23
It's near the beginning of most insurance years. Ms. Toad Friday #32
No, that's the thing. it's not a high deductable plan! LuckyCharms Friday #41
Sorry for any confusion - Ms. Toad Friday #42
Ooops. My fault! I'm sorry. LuckyCharms Friday #44
FYI, Dexcom G7 censors are $500 each. I have a VA prescription for Freestyle Libre and they are half the price. n/t Jacson6 Friday #12
My friend is a Type 2 diabetic dflprincess Friday #13
Infuriating. LuckyCharms Friday #26
I'm sorry mountain grammy Friday #14
You should file a complaint with whoever regulates insurance companies in your state. Outrageous. Vinca Friday #15
Folks die from complications due to diabetes Soul_of_Wit Friday #17
The insurance model is all about denying claims. waterwatcher123 Friday #18
That sucks. Insurance companies are the worst sort of parasites, feeding off the sick and dying. Martin68 Friday #19
A couple of years ago I had a problem with Medicare. milestogo Friday #20
most insurace cos are legeal scams . AllaN01Bear Friday #22
I am 76, TNNurse Friday #24
The people who answer the phone have no authority to fix the problem... hunter Friday #25
Medicare? Ms. Toad Friday #27
No I'm not on Medicare yet despite my age... LuckyCharms Friday #33
Interesting. Ms. Toad Friday #39
I'm on the Dexcom G6, which is being phased out on 7/1/26. LuckyCharms Friday #43
This is one of the plans for bringing in AI in such a big way. The evil greed lizards of Wall Street and PatrickforB Friday #28
But, but, but... ECL213 Friday #29
;-{)..... Goonch Friday #31
Hours spent today here Cirsium Friday #34
Christ. Amazing, isn't it? LuckyCharms Friday #38
A Nightmare Cirsium Friday #45
My daughter's husband is type 1 and they are having the exact same experience. 1WorldHope Friday #35
Tell your husband to stay strong, and you too. I am on MDI (multiple daily injections)... LuckyCharms Friday #37
When my daughter met him he was still using viles to draw his insulin. 1WorldHope Friday #40
I am really sorry Dorian Gray Friday #36
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