Anthem says it's not covered, but my endocrinologist is telling me I just need to go through 30 days of 4+ readings a day to see if I qualify. Anyone with Anthem BCBS insurance? Box 105557 Atlanta, GA 30348-5557 Customer Service. Federal Employee Program . My Dexcom G6 is FULLY covered, thus I get my Dexcom CGM stuff thru a DME. Everyone’s health insurance plan is different. Check if any of these changes may impact your medications. Helpful. 4.0 out of 5 stars 192. The Dexcom G6 CGM System's transmitters are water resistant. BCBSA Press Releases . Pack contains 4 sensors. Weekdays from 9 a.m. to 8 p.m. local time (excluding holidays) Care Management Programs. The Dexcom G6 Continuous Glucose Monitoring (CGM) System is covered by Medicare for patients who meet the Medicare coverage criteria. I'm now strongly considering dropping the CGM because of it. Buy G6 Dexcom Overpatches and Shield on Amazon.com FREE SHIPPING on qualified orders Blood Glucose Meters (BGM) measure glucose levels at a single moment in time, while Continuous Glucose Monitoring (CGM) systems continually check glucose levels throughout the day and night. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. h��X[o�6�+|l1$�H$%��8M�N�:[� zPm5*K��lͿ�w(ɑݸi�f�C,��s���3L0�Yf4��I�0�Lj|��)�m_2�-F�. I see where they are covered and that a portion, the pump, falls under Durable Medical Equipment for initial set up and that the supplies such as tubing, reservoirs, etc. Hi guys! Each Blue Cross Blue Shield company is responsible for the information that it provides. $15.75 $ 15. Blue Cross and Blue Shield Association 1 of 5 New Healthcare Common Procedure Coding System (HCPCS) Codes for Dexcom ® G5 (December 2017) HCPCS codes A9276, A9277 and A9278 are no longer accepted for the Dexcom G5 device, but as of July 1, 2017, HCPCS codes K0553 and K0554 can be used. These HCSC Medical Policies apply only to members who have health insurance through the Blue Cross and Blue Shield plans of Illinois, Montana, New Mexico, Oklahoma, and Texas or who are covered by a self-insured group plan administered by these plans. Archived. My Blue Cross Insurance sent out a letter saying as of July 1 (in the middle of the policy year) they would start treating CGM sensors as DMDs. The Blue Cross Blue Shield companies partner with state and federal agencies, as well as advocacy organizations, to report, investigate and reduce the incidence of healthcare fraud. %%EOF Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. Look Up Prescription Drugs. Read more. Medicare coverage for therapeutic CGM includes certain beneficiaries who have either type 1 or type 2 diabetes and intensively manage their insulin. Teach your patients how to use Dexcom G6 CGM for diabetes and how to insert the sensor with the auto applicator to start measuring glucose data. All Product FAQs ; Warrior Community . I may be moving to South Carolina later this year, and apparently that's my only option unless I go off-exchange for my health insurance. Enrolling more than half of all U.S. federal employees, the Federal Employee Program covers roughly 5.6 million members, making it the largest single health plan group in the world. If you want to know more about the utilization management process or how decisions are made about your care, contact Member Services at 1-877-860-2837 (TTY/TDD 711) . Dexcom says the FDA requires the purchase of the receiver for the G6. Get it as soon as Tue, Jan 5. It is highly unlikely any commercial payers would cover training costs for devices that are not reimbursed. 800-424-4011. An Independent Licensee of the Blue Cross and Blue Shield Association Continuous Monitoring of Glucose in the Interstitial Fluid File Name: ... Dexcom® G6 Mobile CGM Dexcom 2018 For determining blood glucose levels in children ages ≥2 and adults with diabetes Eversense Senseonics 2019 Fully implantable sensor, approved by FDA for non-adjunctive use in adults 18 years and older. What components are required with the new G6 system? NOT what your DOCTOR thinks is right for you but what they decide they want to cover. Yes. Please provide the following information, so we can determine your coverage: With this information, we will contact your insurance company and you to discuss your coverage options. Are there any changes with alarms and alerts? You really really have to love it when an insurance giant like Blue Cross Blue Shield of Illinois decides that it can force you to use which ever insulin they want. Supplies. Our Commitment to Labor. We have Blue Cross Blue Shield and we were not required to order the receiver. Dexcom is usually covered as DME, durable medical equipment, and is usually processed differently than insulin, pens, drugs, etc. Water can also severely limit communication range with the G6, so you never want to prevent communication between the transmitter and display … A copy of the front and back of your insurance card. Save 5% more with Subscribe & Save. On January 1, 2020, Anthem Blue Cross and Blue Shield (Anthem) will implement a preferred edit on Medicare-eligible continuous glucose monitors (CGMs). Is this Dexcom ripping people off, selling them something they dont need? An Independent Licensee of the Blue Cross and Blue Shield Association Continuous Monitoring of Glucose in the Interstitial Fluid ... Dexcom® G6 Mobile CGM Dexcom 2018 For determining blood glucose levels in children ages ≥2 and adults with diabetes Eversense Senseonics 2019 Fully implantable sensor, approved by FDA for non-adjunctive use in adults 18 years and older. At Dexcom, our customers are our heroes - read our Warrior stories to learn more. Yan Zheng. I paid cash from Medtronic and my blue cross-blue shield paid $3.00 on the over $1000 -15 sensor bill. Please provide the following information, so we can determine your coverage: A completed Patient Information form And one of the following: A completed patient insurance form or A copy of the front and back of your insurance card With this information, we will contact your insurance company and you to discuss your coverage options. 4.0 out of 5 stars 192. To note, my prescription insurance is Express Scripts and Dexcom is their preferred CGM vendor. I had to wait a day for the order to get in but now I have a CGM. Blue Cross and Blue Shield of North Carolina (BCBSNC) provides coverage under our Medicare Advantage plans (Blue Medicare HMOSM and Blue Medicare PPOSM) for certain diabetic supplies such as lancets and test strips. 4.6 out of 5 stars 629. $15.75 $ 15.

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