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Our priority
is you
Dedicated to serving those living with diabetes.
FAQ
What if my insurance company isn’t on the Insurance page list? Will Diabetic Equipment and Supplies (DES) not be able to help me?
We may still be able to help you. Please call us and a member of our Patient Care Team will look into your particular insurance plan and benefits to determine if we can help you get your diabetic equipment and supplies.
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Do I need to call my insurance company to make sure they cover my pump or CGM?
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No.
There are many insurance companies that we work with frequently so we may be able to tell you immediately if your insurance company will or will not cover a particular item.
If we don’t have an immediate answer, we will take care of moving on to the next steps. First, we will work with your doctor or endocrinologist to get a CMN. It is similar to a prescription, but for equipment. Once we have that paperwork, we will contact your insurance company to see if they will approve your equipment.
One important thing to know is your insurance company may also want to know how you manage your disease and that can impact whether or not they agree to pay for your equipment. They may look at how many times a day you give yourself insulin, your blood sugar readings, your A1c, or when the last time was that you saw your provider.
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Should I call other companies to check prices? Are there other diabetic equipment companies that would be cheaper?
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If you are using insurance for your diabetes equipment or supplies there is no need to check prices with other companies. The purchase price is the same regardless of provider. Of course, we want you to feel at ease with your purchase so we understand if it makes you feel comfortable to check with other companies.
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What is the difference between in-network and out-of-network?
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A particular doctor, hospital, or company is considered in-network if they have been able to establish an agreement with a particular insurance provider to accept that company’s insurance.
We will you tell you upon our initial conversation if we are in-network or not. Many times, using an in-network provider will be more cost effective for you or even necessary. If your insurance is out-of-network and there are other less expensive options for purchasing equipment we will advise you of that.
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I have heard people talk about a PA. What is that?
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PA is an acronym for Prior Authorization. A PA is the approval from your insurance company that they will pay for some or all of your equipment and supplies. Sometimes insurance companies will not require the authorization while others may take up to 2 weeks to approve your purchase.
As a service to you we manage all of your prior authorizations. As a new patient we will work with your physician and your insurance company to get an approval. Every few months to year we will contact your insurance company and physician on your behalf so you won’t ever have to worry about it in the future.
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