Insurance Issues
I posted in here before about my doctor changing my diagnosis from Type 2 to Type 1 to get CGM coverage. Type 2 has a lot of criteria to get a CGM, whereas Type 1 has no other criteria aside from being Type 1. I recently saw an Endo who submitted yet another request for a CGM and they noted I was LADA managed as Type 1. My insurance denied the CGM noting the Type 2 requirements I failed to meet.
I called my insurance company to ask why they are citing Type 2 CGM requirements when I'm not a Type 2 and have autoimmune diabetes, which is Type 1. They said (I can't believe they said this), "you can only have Type 1 if you are born with it." I calmly explained what LADA was, citing its Type 1 that doesn't manifest until later in life and I am not a Type 2. They again started Type 1 is something you are "born with" and I am subject to the Type 2 requirements for insurance coverage. They gave me a number for my doctor to call in order to have a conversation with them about my condition. My Endo is really annoyed and is going to work on it. I am really frustrated how my insurance company think they can tell me that I'm not a Type 1 as far as insurance coverage goes. Type 1.5 isn't an official diagnosis, so I'm a Type 1 as it's autoimmune. Just wanted to post about insurance issues that I hope get resolved in the near future.