Let me start by saying that I know I am lucky to have medical coverage and I am grateful because I know that many do not have it. However, today it feels like the way they do things is preventing me from getting the best healthcare that I can.
Anyway, here's the story:
My daughter had to upgrade her pump to the 7 series Minimed, so she gave me her old one. That's great because that saved me about $5000 out of pocket, right?
Well, I talked with Aetna today to see what their coverage was for the infusion sets, reservoirs, etc. Unfortunately, they consider the pump supplies to be DME as well, so they only cover 50% of my supplies AFTER the $2500 deductible. So basically, insurance doesn't cover anything because it would take me a year to get to $2500. I don't think i can afford $160+ per month in addition to $40 co pay for test strips, insulin, etc!!!
Is this common for insurance companies to classify pump supplies as DME? So frustrated!