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Type 1 Diabetes
CGMs to be considered a "medical necessity" under USLaw...
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<blockquote data-quote="TorqPenderloin" data-source="post: 1156217" data-attributes="member: 211504"><p>Hitting the "Upper limit" of an insurance plan in the US is a good thing. It's known as the "Maximum out of pocket" and it's capped at no higher than $6850 for individuals ($13.7k for families) in 2016. </p><p></p><p>After paying that amount in out of pocket costs, the insurance company pays 100%. Note: that figure does not include the monthly premiums to be covered under a plan. </p><p></p><p>As far as getting CGMs approved for Medicare, it's getting traction but still nowhere near resolved.</p></blockquote><p></p>
[QUOTE="TorqPenderloin, post: 1156217, member: 211504"] Hitting the "Upper limit" of an insurance plan in the US is a good thing. It's known as the "Maximum out of pocket" and it's capped at no higher than $6850 for individuals ($13.7k for families) in 2016. After paying that amount in out of pocket costs, the insurance company pays 100%. Note: that figure does not include the monthly premiums to be covered under a plan. As far as getting CGMs approved for Medicare, it's getting traction but still nowhere near resolved. [/QUOTE]
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CGMs to be considered a "medical necessity" under USLaw...
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