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How to get CGMS reimbursement

Welcome to CGMS Central. Our mission is to be the resource on the web for anything about CGMS reimbursement.

Start a Forum thread for discussion purposes. Then, create a Wiki Page for documenting the factual information that the patient filling the claim needs in order to streamline the process (who did you talk to at the carrier? and what was their phone # or email address?) and ensure more successful claims.

If you are not sure where to get started with reimbursement, check out our FAQ.

We hope you join our community and help move CGMS reimbursement along.

Our goal is to provide you with the tools and tips that you need to get reimbursement for your CGMS.

To do this, we need your help:

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BCBS Anthem of OH PPO

I have BCBS Anthem of OH PPO and they do pay for CGMS. I am starting the therapy soon.

Kaiser HMO

George Colgett Has anyone had any luck with getting reinbursment through Kaiser?

Insurance on CGMS

My 5 year old daughter has been on the CGMS for 6 months. We bought the system saw how it work and decided to see if the insurance would pay for it (BCBS PPO). The response back was that they would not pay for it because it was not FDA approved for her (FDA approval for 7 or older). We could now go and get another appeal which is outside our insurance, but we have not done that yet.

cgms reimbursement

WE live in Missouri and have bc/bs ppo. We are trying to get "real time'coverage for our 2 children. Any help would be appreciated.

Medicare

I am on Medicare and would like to know if anyone has or is going to try to get Medicare to pay for CGMS in 08? Thanks, Linda

Medicare CGMS Reimbursement

Hey Linda,

Let's start a forum thread on this topic. As we get people to work on this as a collective, facts and tips from the Forum can be added to a dedicated Page on this site. That's what's unique about cgmscentral.com. All the great conversation plus a way to capture the important facts so other people can easily use what's already been figured out.

I started a thread for this discussion here: http://www.cgmscentral.com/node/77

I started a Wiki Page for factual distilled step by step info and how to's here: http://www.cgmscentral.com/node/78

You are also supposed to edit as needed so no need to make a separate comment or a new page. Just jump in and continue to enhance the page that exists by clicking on the Edit tab.

Thanks for your participation.

Kevin

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