Adding a Dexcom to my Diabetes Toolbox

So, back in December, I had a chance to test drive a Dexcom continuous glucose monitor (CGM) through my Endocrinologist’s office. I had been curious about the device and my Endo wanted to capture some data to get a better idea as to what adjustments we needed to make to my insulin dosages, etc… So, I met with the diabetes educator in the office, was trained and setup with the Dexcom, and then spent a week using it to track my numbers, insulin, carbs, exercise, etc… It was a good experience overall, and I definitely saw the potential benefits using a Dexcom on a regular basis. And I really wasn’t ready to give it back after a week.
In early March, after pondering the move for quite a while, I decided to explore whether I could get one or not. I had questions. Would my insurance even approve it? What would it cost? Could I afford another monthy expense? Was this really something that I wanted? So, I sent my information to Dexcom and they began the process of checking my insurance benefits. I was eventually referred to Edgepark Medical Supplies as they are the third-party durable medical equipment distributor that my insurance prefers. Edgepark provided a cost breakdown and gave me time to think things over while we waited for the insurance company to process the required prior authorization.

Cost breakdown
Dexcom G5 Mobile Transmitter – $984.60
Dexcom Receiver – $156.71
Dexcom G4 Platinum sensors – $319.20 ($106.40 per box of 4. x 3 months).
Total out of pocket cost: $1,460.52
As I said, I wasn’t sure if I actually wanted one of these things. And the cost was definitely going to be a factor. That total out of pocket cost was with the insurance. My out of pocket deductible hadn’t been met, so I would have to bear the brunt of the cost up front. I just didn’t know. Lots to ponder.
Then, on April 10th, I received a voicemail that appeared to indicate the insurance had approved the Dexcom. I returned the call to verify that and, to my amazement, the answer was yes. And when the insurance company actually approves something on the first try, you have to strike while you can. So, I placed order. I still have reservations about the cost going forward, but I’ll figure that out later.
I received my order on Good Friday of all days, and have been using the Dexcom since Sunday evening. The first 24 hours were a bit rough, but this is new and I’ll get used to it. This is a good thing.
And the timing is perfect as I will have the Dexcom as I travel to Chicago tomorrow evening in preparation for the #2ruthInNumbers and #HealtheVoices17 conferences. Learning on the go.
Ciao!
One Comment
Rick Phillips
Mike,
Having a CGM is the most important tool in my diabetes kit. take my pump never, but take myCGM out of my cold hand. I mean it has improved my glycemic control in ways i could never imagine. I hope you love yours, I love mine.