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UHC Approving Medtronic Minimed 530G

Two weeks ago I posted about the whole denial and approval process of my Minimed 530G system and was asked by Mike Hoskins if this is typical for all insurers or just UHC? I do not have information about the other insurers, but I was told by Medtronic that UHC is now approving requests for the Minimed 530G with Enlite.

Here is a statement from Medtronic:

“There was a period of time where UHC was not covering MiniMed 530G with Enlite. However, this has recently changed. If you know anyone in the community who experienced similar coverage issues with UHC, feel free to let them know UHC is now approving MiniMed 530G for people who meet their criteria.”

So, if you have been denied before with UHC, please reach out again and see if your luck has changed.

Dlog Week – Cleaning Out My Closet

As a big Eminem fan (I don’t listen to rap anymore because today’s rap is whack!), the first thing that came to my mind was his song, Cleanin Out My Closet, but then I thought about how this subject relates to me in a diabetes way. I wish I could share an image with you right now, but unfortunately, I can’t because even after 3 months, I’m still not fully unpacked.

When I was packing back in January to move to my first house, I found a lot of diabetes supplies and products around the house. I started to throw them all into a box, but then that box turned into two, which by the end was a total of 5 boxes. These are all now hanging out in my garage just waiting to be unpacked.

What is all contained in these boxes do you ask?

Old meters that I either had as a demo or received from my doctor that I no longer use. I counted about 20-25 different meters sitting in the box, but I do not have strips for any of them, which is why they are sitting there.

There are a lot of different cookbooks in there because it seems like everyday I am getting an email from another PR rep about a new amazing cookbook that is going to change the lives of us living with diabetes.

There are a bunch of other random products that have been sent to me that were to be reviewed that I just have not gotten to.

So, since this topic came up for today’s DBlog Week prompt, I am setting a goal to go through these boxes. For the products that I need to review, I am going to review. For products that I can give away, I’m going to give away. And all the other crap, well I’m going to hang onto it because I love seeing diabetes technology from the 70’s-80’s, so I know that all this “hi-tech” stuff that we have now is going to be nothing since the future is filled with more sensor technology and wearable technology.

I know this is something that Scott Johnson already does and I am going to join in on the fun. I will announce when these giveaways and product reviews will come.

DBlog Week-ing about Keeping it to Myself

I was never really the type of person to talk a lot about myself and my feelings (except maybe sports, I was pretty cocky when it came to that). Once I was diagnosed, I was still a little shy about my diabetes and telling people, but I got over that within a few months. The main reason was because I wanted to educate people about diabetes, so I was always willing to answer questions or talk about the disease. Obviously, once I started the blog almost 10 years ago, I’ve talked about a lot of stuff, but there are a few areas that I haven’t really shared much about.

The one topic related to diabetes that I don’t speak about much, almost zero amount of times, is – sex.

Why?

There are a couple reasons. First, my mother and I think my mother-in-law sometimes, read my blog. I just had my first child, so yes, I think everyone knows how that happened, but at the same time, this isn’t 50 Shades of Grey Diabetes.

There are a lot of specific topics in the sex realm that can be talked about, but I haven’t spent much time on it (even though I think that maybe these topics should be discussed more frequently):

  • How to deal with a low blood sugar when the mood is hitting
  • Erectile Dysfunction
  • Where the hell does my pump go?
  • Is it ok to disconnect during?
  • Many more topics…

I Can Own My Own Business with Type 1 Diabetes

I would never say that I am glad that I have diabetes, because no matter what, it’s still diabetes. However, I am thankful for how my life has turned out because of being diagnosed with diabetes. Before I get into the “I Can” portion of this, I want to provide a little background for that story.

After I was diagnosed, I lived back at home for about a year before deciding that I was going to go to college in south Florida near the beach. If I was never diagnosed, I would have never made this decision because I was happy where I was at. However, the diagnosis made me feel like I need to do something fun with my life and live life to the fullest, so off to south Florida I went…….and then I met Amanda, who is now my wife and the mother to my beautiful daughter.

None of this would have happened without being diagnosed. I am not a believer in “things happen for a reason” but I do know that without diabetes, I wouldn’t be where I am today.

Now, for the I Can part of this. Growing up, I always knew that I wanted to own my own business, I didn’t know what I wanted to do, but I knew I wanted to be my own boss. After being diagnosed and learning the ins and outs of insurance and knowing that getting insurance as a T1 was going to be nearly impossible, I thought that there was no way that I could own a business.

Well, guess what, I DO own my own business, a quite successful one at that. I DO have insurance. I even got my own diabetes life insurance policy as well, something I was worried about not having after not having an employer based one.

That’s right! You heard me! Life insurance for diabetics is obtainable, and more affordable then you can imagine. I had personally read horror stories from others, while trying to obtain diabetic life insurance. Like the old phrase, don’t believe everything you read on the internet. After speaking with some different agents and and agencies, I finally found one company that not only specializes in working with diabetics, but they ONLY work with diabetics! Getting life insurance for type 1 diabetics is not as challenging as I thought and the application process was pretty simple.

So you CAN own your own business with Type 1 Diabetes. 10 years ago around diagnosis, I was discouraged and didn’t think that I would be able to do this. I thought that I would have to work for someone else just so I could have healthcare coverage.

Now, not only do I know that diabetes can’t stop me from owning my own business, I owe diabetes a thank you for helping me start my own business!

My Denial and Approval Process of the Minimed 530G

As some of you may know, I was offered a free trial of the Minimed 530G (Disclosure Post) and have been using it ever since. Once the trial was over, I made the decision to stay on the 530G system and the process of getting it covered by insurance was about to begin. And it was a long process.

After the first submission to UnitedHealthcare, it was denied. I received a phone call from my local Medtronic rep, as well as the marketing team at Medtronic who was working with me throughout the trial process and my endo. They all explained to me that this was a very typical response the first time around, but that they were going to submit a letter to the insurance company to get an approval the second time around.

However, the team already knew that the second claim was going to be denied as well. They explained to me that usually it takes three attempts and then after that third attempt is when it finally gets approved.

Long story short, that’s exactly how it happened.

Normally, I would have been pretty upset and irritated that every time I received a letter from UHC, it was a denial letter. But, for the fact that I already knew I would receive these denial letters, it made it a lot easier. Also, the fact that I just had to sit back and do absolutely nothing and that my healthcare team and Medtronic themselves were working for me, was pretty comforting.

After that initial denial letter, I was sent the following PDF from the Medtronic team that outline the documents needed from your healthcare professional and the appeal process and what you can do to speed up the approval process.

Download the MiniMed® 530G with Enlite® Coverage Tool Kit

Now that the process is over and the system was approved and that I have received the product in the mail is very exciting. I can’t wait to get it all set up and start using my own instead of the trial demo product.

My Decision to Use ViaCord for Cord Blood Banking

Disclosure: The opinions expressed in this post are mine and mine entirely. I received a $300 discount on the one time processing fee from ViaCord in exchange for writing a post about my experience. This discount was offered after I had made my decision to bank with them.

Once Amanda and I found out that we were going to be having our first child, I was hit with a full mix of emotions. I wrote about this over at Medtronic’s Loop-Blog, so I won’t go into too much detail here about that. One of the things on my list was whether or not to do cord blood banking. I was told by a lot of type 1 parents that it is a no brainer and that they did it because you never know what the future will hold. Based on that feedback, I knew I was going to do it, but I didn’t know what company I was going to use or how I was going to do it.

I had been collecting information about all of the different companies that do cord blood banking whenever I went to any sort of doctor visit or anything baby related that had information available. As time went by, I had narrowed down my choices to just 2 different companies. A week before the due date and I still hadn’t chosen a company or made a final decision. I know, I am a huge procrastinator.

On March 18, I finally decided that I was going to call ViaCord to set up our cord blood banking. Our due date was March 23 and we had just come home from a doctor’s appointment and Amanda was less than 1 cm, so I knew that I had a few days to get the package in the mail.

Setting up the account with ViaCord was very smooth. The person I spoke with was very friendly and very easy to deal with. After setting up the account, she alerted me that they will be shipping out the collection box to me overnight and I should receive it the next day. Later in the night, I received an email with the tracking number and said it should be at my house by 8 p.m. the next day. Perfect! Plenty of time for delivery.

Then, the next day happened. Amanda woke up and she felt “different” then she had felt all through her pregnancy. And then it happened, she started to feel contractions. It was about 1 p.m. and I remembered that the ViaCord package had not been delivered by FedEx yet and I had to take the box with me to the hospital. At about 4:00 p.m. we called the OB and they instructed us to head to the hospital. As I was collecting the “Go Bag” and packing up the car, I could hear the engine of a nice Fed Ex truck coming down the street. And there it was, my ViaCord collection box just in time of going to the hospital.

Honestly, I don’t think they could have even written something like this for a movie! It arrived 10 minutes before we were leaving for the hospital.

The entire cord blood collection process was simple. Once I told the nurses we were doing it, they drew blood from Amanda first and then collected the cord blood after the delivery process happened. The doctor did all the work, and I tried to watch a bit, but I couldn’t take my eyes off of my daughter.

After that, I made a phone call to the 24 hour phone service to schedule for the package to be picked up the next morning. At about 6:45 AM, a courier picked the package up and took it off to the airport.

I received an email the next day stating that everything arrived in good condition and that it will take a couple weeks for the processing of the cord blood to take place.

After a couple of weeks, I did receive that email and stated that everything with the collection samples were good to go.

Overall, I am happy that I made the decision to do cord blood banking. There was not much effort on my end and it was something that the doctors and nurses seemed very well versed in.

Summarizing My Year in a Post

So the last year of my life has been a complete whirlwind. It’s been filled with a lot of positives, some negatives, and some things just in the middle somewhere. Within that past year I found out I was having a daughter, I’ve since had my daughter (6 weeks old already!), grew my business to a whole other level that I wasn’t expecting to hit this year, and many more exciting events.

My diabetes side of things is where my life took a hit. Health wise, my A1C’s have remained stable and at a level that I am comfortable with. Not my goal levels, but am comfortable with. I have gone on blood pressure medication after a week of feeling off and having symptoms of high blood pressure. I started off using Lisinopril, but I had a cough reaction to it and had to switch.

I also added a weekly Vitamin D pill to my life, along with a daily cholesterol pill (generic Lipitor). However, I was switched to a different medication because my triglycerides are so damn high because I eat unhealthy and don’t exercise at all.

I obviously have not written much over the last year. That includes here, dLife, Medtronic, and a few other places where I provide some content here and there for. I admittedly just could not find the time to do it. When I had free time, it seemed as though this diabetes stuff ended up lower on the to-do list than I thought that it would.

After the birth of my daughter, I found myself in a position that felt similar to when I was first diagnosed. I was new to something and I did not have the answers, so I began reaching out to my brother and family members who have kids looking for advice. And then it hit me, that’s how I got involved in the diabetes community in the first place and the reason that I continued to blog was because if I could just help one person who had an issue or a question with one of my posts, my job was done. And I realized that by not putting out any new posts, how am I helping anyone?

So, that’s when the light bulb went off and I said to myself, stop with the f*cking excuses and get back to doing the sh*t that you love to do.

So, here I am, back at it and for good this time.

Running Out of Time

Since I know that I am not the only one with this problem, I think we should start a real petition, one to add more time to the day. You may have noticed that I have only posted here a few times over the last several months. There are multiple reasons as to why I have not been around here and only one is diabetes related.

As I mentioned in my last post, Amanda and I are expecting our first child next year. A lot of the “extra” time that I’ve had, has gone to doing research and reading on pregnancy, effects of diabetes when the father has diabetes, breastfeed or not to breastfeed, studies on children who only the father had type one, etc.

I’ve been growing my business to a level that has taken up nearly 90% of my day while I am awake. I would love for my wife to be able to stay at home with our child, so I am making relationships and partnerships to help that happen.

Here is the diabetes reason. I needed a break and I just had enough. Not with diabetes, but with keeping up with everything going on in the DOC. I absolutely love all of the amazing things that the DOC is creating and the initiatives that have been started. But I just couldn’t do it anymore. I was spreading myself too thin and I felt like I couldn’t be an advocate if I was only doing it with my 1% of my effort (the remaining 10% after the 90% my business is taking up).

It was beginning to feel like everyday I was waking up there were 2-3 new programs, campaigns, hashtags, initiatives that I was seeing or being requested to promote or advocate for and I just couldn’t keep up. I couldn’t do it all. I tried and I became exhausted, overwhelmed and just felt that I needed a complete break.

As I ease myself back into it, and not sure if Diabetes Awareness Month was the right time to jump back in to see what campaigns and initiatives are active and figure out what I want to put my effort into.

We Are Expecting

Within the past week I turned 30 years old and also found out the gender of our baby. We have waited until today to announce to the social world that we are pregnant and what we are having. So, without any more hesitation, Amanda and I are expecting our first child, a little baby girl in March 2015.

baby-announcement