I am a relaxed, goofy, free spirited person. When you mess with my family or my health there’s an issue–a huge issue.
Here’s my issue:
Febuary 9, 2009 I called Insulet to re-order my pods. I knew Insulet runs a little slow in processing re-fills, not sure why. I was told by a CSR, my referral would be submitted.
I called back a couple of days later, talked to the same rep. She said everything was processed, it takes up to 72 hours for approval.
A few days later I received a e-mail from Tricare about my authorization request. Yeppie, I can re order my supplies. I logged on to Tricares website. The request read *Non-Approved*. WTH, why would they deny supplies to a pump they approved? I was a little confused and upset.
Monday, I called the supervisor at Insulet. I explained the pod’s had been denied. She said they have issues with Tricare paying for the Omnipod system.
She wasn’t sure why. She said she would call Tricare. The Supervisor from Insulet called me back, the CPT codes they use for the POD’s are considered investigational and will not be paid for.
At this point my blood is boiling.
I called Tricare with the Super from Insulet. I was told the codes from the Omnipod weren’t correct. The Tricare rep told me, the codes was for a whole new insulin system. The Super and I explained I already had the pump, just needed the supplies. The Tricare rep said she would make a note on the auth, request is for supplies only not the pump.
I hung up with Tricare and The Omnipod Super.
3 days later I called the Omnipod Super. She said she would talk to the billing dept Super to see if there are different codes. I haven’t heard from the the Supervisor from Insulet.
To Be Continued….