Thursday, August 12, 2010

Breaks, Insurance (again), and Pumps

So, I've been taking a bit of a break from most social-networking. I've still been on facebook, just not as much. It's been a nice break. Sometimes for the sake of my sanity I need to disconnect from everything.

Anyhow, I think I'll be back more regularly again.

The glutton for punishment that I am - I'm going back into dealing with my insurance company.

My Insulin Pump's warranty has been gone since February. It's been proven that my pumps only last me about 6 months at a time before I need them to send me a new one - just because I'm so hard on them in every day use. The battery case ends up cracked, the rubber on the buttons wears off leaving electronics exposed, it refuses to prime... and so on.

In the name of tradition - my pump is rapidly falling apart. The rubber over the buttons is peeling off - and I've already done my best to preserve that. I accidentally exposed it to several X-Rays last week- it doesn't seem to have done any damage, but it's just another risk to it seriously failing me soon. I've already noticed some problems where it's not actually priming even though it says it is - leaving me with awesome high blood sugars, usually overnight.

When changing my infusion site the other day I realized that I will either

A. Need to order more supplies soon

B. Go back to Multiple Daily Injections (MDI)

or C. find out exactly how much a new pump is going to cost and see if that's even an option

I decided I've got a little bit of time before I'll need to order more supplies (a few weeks) so I'll call Animas and see what we can get going for me there. I had them run the numbers with my insurance company to help me figure out how much money I'll actually have to pay out of pocket after my 20% deductible and possible trade-in value for my current pump.

No one told me it takes 48 hours for them to talk to my insurance company and figure everything out so - impatient me called them yesterday afternoon and then I felt like an idiot after they told me it takes 48 hours so they'll call me tomorrow (now today). Ah well. I'll know more at some point today, I hope.

I kind of exciting prospective with possibly getting a new pump (under warranty!!!) is that we might be able to do a CGMS system for me too - we'll meet the deductible for the year and all the rest of my supplies will be covered 100% for the remainder of the medical year. - We'll see, though. Everything is all just "possibilities" right now and nothing is set in stone.

I'm really really really really hoping it'll all be feasible, though. The pump at least. If we can meet the deductible too - that would just be awesome. I absolutely HATE the infusion sets that I'm being forced to use right now because they are all that is covered under my prescription part of my medical plan. I could get the ones that I want under Durable Medical Equipment but at at 20% copay per box - it's just not a do-able option right now.

Here's a vent - Why does diabetes have to be so expensive!? It's irritating that my medical condition takes away from things I could be doing/getting for my daughter. It takes away from going out to dinner once in a while with my husband. Gr.

My husband is so sweet, though. Yesterday I told him I was feeling bad about possibly getting a new pump because it makes me a really expensive spouse - he told me "I married you knowing you're going to be expensive. I still love you!" Okay, he's definitely a keeper and the sweetest guy ever.

Alright, so I'm going to wrap this up for now. Here's to being back to some regular-ish posting!


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