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Wearing 2 Navigator receivers at the same time...lessons learned

I've had T1DM since 1966 and hav been pumping since 1983. I've been using the Nav since last year. I wear it continuously. I can't count anymore how many severe lows and highs have been averted by this technology. Of course, A1C is tighter than ever (below 7%). I chose the Nav based on an insider recommendation. It took a while to get comfortable working around the 10 hour cal time, but I know this is short lived with the Nav 1.5 now in Europe. I LOVE the shallow penetration depth of the sensor, compared to the other two out there.

Wearing 2 Navigator receivers at the same time!

I've had T1DM since 1966 and hav been pumping since 1983. I've been using the Nav since last year. I wear it continuously. I can't count anymore how many severe lows and highs have been averted by this technology. Of course, A1C is tighter than ever (below 7%). I chose the Nav based on an insider recommendation. It took a while to get comfortable working around the 10 hour cal time, but I know this is short lived with the Nav 1.5 now in Europe. I LOVE the shallow penetration depth of the sensor, compared to the other two out there.

The battle begins

Hello everyone! I am very excited to be here!

Disallowed by Horizon BC/BS of NJ: "investigational"

"This letter is in reference to your appeal request for reconsideration of our denial of the above referenced claim (procedure codes A9278, A9276, and A9277)

Your appeal has been reviewed by our Medical Director, Dr. STanley E. Harri. The sensor and transmitter are consideered [sic] investigational.

Therefore, the above claim is not eligible for reimbursement.

We regret that a more favorable decision cannot be reached; however, benefits can only be extended in accordance with our established medical policy guidelines.

Sincerely,

[signed}

Paul Zoblitz

WOW to Minimed/other insurers

I already had a nice lady who called to get the authorization number and my new transmitter is in the hands of UPS! How great is that?

I read on another list that someone who works for an insurance company sites their guidelines for getting a CGMS as:

1. Type 1 DM 2. Test BS at least 4 times a day 3. Recurrent "severe" hypoglycemia of less than 50 mg/dl 4. Frequent BS above 150 mg/dl 5."Poor control despite compliance with frequent changes in the medical regimen." 6. Three or more injections a day or use of an insulin pump.

She continues:

APPROVED!!!!

IN TOTAL SHOCK!!!!!

I HOLD IN MY HAND, TEARS DOWN MY FACE AN APPROVAL LETTER FOR THE CGMS!!!!!!

I cannot believe it! No denial, no fighting, just as if 'Oh, OK, here"....

Faint: THUMP!

I have yelled out SO LOUD, the dang neighbour looked over the fence thinking I'd won the lottery, and in a way, I have!

OMG, I'm going to FRAME THIS LETTER!!

How cool is THIS???

How to Contact Lahle Wolfe for Help

My name is Lahle Wolfe. I am the founder of Islets of Hope and iPump.org, Inc., a diabetes, 501(c)(3), nonprofit assistance organization. I am actively involved in diabetes advocacy, including the cause of obtaining CGMS coverage at national level. Hopefully, my comments on this site will help others struggling with their insurance companies.

CGMS on loan to me

Is dying because of the short lifespan of the transmitter. Of course I had just ordered sensors for the thing, but am STILL waiting on insurance to say yes or no. It'll most likely be no, but I digress.... All I know is if I have to go into debt to get a new transmitter, I shall. I need this and it has saved me from no less than 4 lows at work in the last month.

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