advertisement
 

  Back to Ask the Diabetes Team Ask the Diabetes Team
Question:

From Ft. Myers, Florida, USA:

I was diagnosed with type 1 diabetes when I was eight years old. I have kept my blood sugar levels within normal range when growing up. As I age, I find that my blood sugar levels are out of control at times. I am working in the restaurant industry and would like to know all about insulin pumps. I have searched the Internet and have found out much, however, at the present time, I do not have insurance and am seeking Medicaid to assist me with my diabetic supplies. Would you happen to know if I could receive an insulin pump if I qualify for Medicaid? I have inquired about having insurance, but my premiums are much too high for the wage that I earn. Also, due to having a pre-existing condition, many insurance companies will not issue me a policy, I need HELP and I feel that I need it now. Would you be able to assist me with the knowledge that I have given you? I would like to learn the names of the companies that manufacture insulin pumps so I can ask if any of those companies offer any assistance to people like me.

Answer:

Medicaid eligibility depends on several issues: age, number of dependents, income and assets/resources (cars, home, savings). As for coverage of insulin pumps and supplies, Florida Medicaid will pay for an insulin pump if it meets the program's medical necessity protocol. The first step after obtaining coverage through Medicaid is to seek medical care from a physician. That physician will evaluate if an insulin pump is a recommended therapy. Then, the Medicaid program will evaluate the recommendation for initiation of pump therapy. Information concerning the manufacturers of insulin pumps can be obtained found of our page on Insulin Pump Therapy. One can also seek assistance through the Partnership for Prescription Assistance.

In my humble opinion, an individual should not consider beginning insulin pump therapy unless they have reliable resources to purchase, or access to, the supplies needed to maintain the treatment regimen. There is a finite number of pumps donated by the medical device industry. When an individual obtains a donated pump, but abandons therapy after realizing they cannot afford the daily supplies, that pump is not available in the hands of another person in need who is committed and has the resources to fully utilize the donated pump.

DSH

DTQ-20080127204649
Original posting 31 Jan 2008
Posted to Insurance/Costs and Insulin Pumps

  
advertisement


                 
  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:10:16
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.