Posted in Diabetes

Insulin Pump Appeal-Speaking to the Health Insurance Reconsideration Committee

This morning I spoke to the health insurance reconsideration committee regarding my appeal for an Omnipod insulin pump. My application for an insulin pump got denied because my A1C was below 7% and because I have not been on injections for at least six months. Therefore, I submitted a letter to my insurance company, and was invited to attend the meeting to review my grievance via phone or in person (if I wanted to). I attended the meeting  via phone.

Everyone introduced themselves first. The panel consisted of 9 people including nurses, doctors, customer representative, etc. I thanked them for taking the time from their busy schedules to listen to me and then gave my statement on why I think an Omnipod insulin pump and supplies should be covered by my health insurance. I prepped a well crafted letter last night where I gave examples of how the different features of the insulin pump would be useful to me and issues I have experienced on multiple daily injections that may be better managed with the pump. This would show that I have done extensive research on it and don’t want one “just because”. Once I read my statement, they were allowed to ask questions if they wanted to. I didn’t get asked a lot of stuff, which I guess can be good and bad.

The customer representative said they would have a final decision in a couple of weeks and would give me a call with the decision a bit earlier than that. Now, I just have to wait and see what happens. Crossing my fingers hoping that it gets approved. I’m hoping  I have an advantage over someone that didn’t choose to attend the meeting to review their appeal. I don’t think anyone should be denied a pump though. If people want more tools to better manage their diabetes, they should be given the tools to do so.



Hi all! This blog is a space to share my journey and day-to-day experiences with managing diabetes. Please note, I am not a doctor or nutritionist, just a patient that lives with the condition.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s