Monday, May 6, 2013

We are insurance. We do what we want.

What kills me about the entire insurance industry is that THEY were the ones who decided to get into the business. They bet we won't get sick, we bet that we will get sick, and thus we have this incredibly convoluted and opaque industry where they make tons of money, America has never been sicker, and a diabetic can't get a break.

So, when their bet goes awry, instead of taking it like a champ, and saying, "oh, blistering barnacles, we were wrong, here's your coverage, old chap," they try to weasel, lie, cheat, steal and red tape their way out of paying.

It's so disgusting.

The latest ickiness is UMPremierCare: a representative from Dexcom (manufacturer of continuous glucose monitoring systems) told me that PremierCare has the strictest policies on obtaining medical devices. Mind you, they have NEVER paid for a CGM for me. The last one I got was last July when I was still on CareFirst. They make Dexcom send them warranty reports and serial numbers for any previous CGM, whether or not it was covered by UMPremierCare or not. Let me illustrate this for you:

Jane is on CrappyOptOut Plus through her job. She quits the job, and takes another job. Her new insurance is LeastBadOptionCare. When she goes to order a new CGM, LeastBadOptionCare first checks with the CGM manufacturer to see if SOMEONE ELSE has ever paid for a CGM that is still under warranty. They find that CrappyOptOut Plus had paid for a previous system, so they deny her a new one. 

This especially sucks when one's CGM has been lost in a field, and one's blood sugars have not been under such tight control ever since.


No comments:

Post a Comment