Medicare Part D says yes to Omnipod!
Rejoice, revel, Read on!
The long and confusing winter has finally succumb to a common sense spring. No more shall Medicare mis-categorize our favorite tubeless insulin pump. I am thrilled to tell you that Omnipod is now covered by Medicare Part D! I also want to extend my sincere congratulations and excitement to everyone who has been waiting and working for this day. Medicare Part D coverage of Omnipod is one of the topics that I hear from you about most and I know from your messages that this has been a hardship for so many people.
I was speaking this morning with someone at Omnipod and they want you all to know just how much they appreciate the effort put forth by the diabetes community. Your support, persistence and patience did not go unnoticed.
“As you know, this has been a long, collaborative journey. The support of the diabetes community helped impress upon Congress and CMS the need for access to innovative methods of insulin delivery such as the Omnipod.”
MEDICARE PART D FAQ'S
How long did it take you to secure Medicare coverage and why did it take so long?
This has been a persistent effort since Insulet Corporation launched the Omnipod® Insulin Management System. The Centers for Medicare and Medicaid Services (CMS) communicated they had not comfortably assigned the Omnipod® System to a benefit category due to the unique design and physical attributes of the product. CMS has since issued guidance clarifying that products such as the Omnipod®System may be covered under the Medicare Part D (prescription) program. We are thrilled to now have the Omnipod® System formally covered by CMS as a Part D benefit.
What ultimately convinced CMS to provide coverage? Why did they change their mind?
It was less CMS changing their mind and more them clarifying that products such as the Omnipod® System fit into this criteria. CMS maintains that the Omnipod® System is not coverable as a DME benefit and therefore must be covered as a Part D benefit.
Does this Medicare coverage cover those living with insulin-dependent Type 2 diabetes?
We are assuming the Omnipod® System coverage criteria will be consistent with the coverage criteria outlined in Medicare’s Insulin Infusion Pump National Coverage decision which does not make any distinction between those individuals living T1 or T2 diabetes. While we believe there are opportunities to deliver the significant benefits of the Omnipod® System to the type 2 user base as we move forward, we are initially mainly focused on the T1D community for this coverage.
When will I be covered under Medicare Part D?
This decision enables your Part D carrier to add the Omnipod® System to their covered formulary list. Insulet Account Executives are now working with Part D carriers to ensure this occurs. This process takes time for the carrier to implement, so in the meantime our Medicare Access team may help you work with your Part D carrier to secure a formulary exception. Please feel free to connect with our Medicare Access team at 877-939-4384 t explore this process.
How wilI I know when my plan will cover the Omnipod® System?
Insulet will communicate updates to our progress working with Part D carriers to add the Omnipod® System to their formulary. Again, this process will take time. We should receive a decision from your carrier within several weeks about their decision to cover your supplies now via the formulary exception process. If you are a current Podder™, just click here to provide your insurance information online or reach out to our Medicare Access team at 877-939-4384 so we can help you initiate the formulary exception process.
How long could it take for my pharmacy to add the Omnipod® System to their formulary?
If the Omnipod® System is not on formulary for your plan today, we can assist you with the exception process. Once submitted, it will take about a week to know if the exception is approved. If not, we can pursue an appeal. In the meantime, we will also be working with your carrier directly to get the Omnipod® System put on the formulary for all of the carrier's members. It is difficult to predict how long it will take to get the Omnipod® System on formulary for your carrier a it could take months. Therefore the exception and appeal process is a good option if you want coverage sooner.
How do I find a Part D Medicare Plan that covers the Omnipod® System?
CMS’s decision to cover the Omnipod® System under the Medicare Part D program enables Insulet Corporation to begin contract negotiations with Medicare Part D carriers. Until these contract negotiations take place, the Omnipod® System is covered, but will not be listed as a covered product on the CMS Website. The good news is that both the Pod and Personal Diabetes Manager are available via the Part D formulary exception process. Please feel free to connect with our Medicare Access team at 877-939-4384 to begin the approval process.
How do I find a pharmacy that carries the Omnipod® System?
We currently have a number of pharmacies that are dispensing the Omnipod® System. Please call our Medicare Access team at 877-939-4384 to explore your pharmacy benefits and to learn what your Part D carrier's in-network pharmacy alternatives are.
How much will the Omnipod® System cost me?
The cost is dependent upon your Part D plan formulary benefits. We can begin a benefits investigation with you to determine what your cost will be. Please call our Medicare Access team at 877-939-4384 to begin exploring this.
How do I get started on the Omnipod® System?
Please call our Medicare Access team at 877-939-4384 and we can help you get started via the Part D formulary exception process.
What does my Medicare plan require me to do to get started on the Omnipod® System?
This will be dependent upon your Part D benefits. Please call our Medicare Access team at 877-939-4384 and we can work with you to begin the approval process.
This is not a sponsored post but Omnipod does support the Juicebox Podcast with ads. I wanted to be sure that you knew that. Speaking of support. If you are considering the Omnipod (and I think you should) please also consider using this link to try a free, no obligation demo. It helps the podcast when you click. Thanks!
Noninvasive BG monitoring with Apple Watch, "considered to be years away".
There is a recent article circulating in the T1 community that in part reads, "Citing anonymous sources within Apple, reports in Bloomberg and the New York Times over the past weeks continue to add to the pile of leaks and rumors about two of Apple's currently under-development health devices: a wrist-worn glucose sensor and an EKG built into the Apple Watch."
The article goes on to call the glucose sensor a, "a noninvasive continuous glucose reader".
If you were to surf over to the New York Times link on the subject and read down you would see this...
“Separately, Apple is continuing research on a noninvasive continuous glucose reader, according to two people with knowledge of the project. The technology is still considered to be years away, industry experts said.”
"considered to be years away..."
That's pretty much it. I don't want to be a Debbie Downer and I'm certainly not a Negative Nancy but I didn't want you all to feel like this was coming with the next version of the Apple Watch.
Now on to some good news...
I have a new giveaway for you to check out.
UCLA-led study blames mental lapses on sleep-deprived brain cells
Ever sleep poorly and then walk out of the house without your keys? Or space out while driving to work and nearly hit a stalled car?
A new study led by UCLA’s Dr. Itzhak Fried is the first to reveal how sleep deprivation disrupts brain cells’ ability to communicate with each other. Fried and his colleagues believe that disruption leads to temporary mental lapses that affect memory and visual perception. Their findings are published online today by Nature Medicine.
“Lack of sleep interfered with the neurons’ ability to encode information and translate visual input into conscious thought.”
“We discovered that starving the body of sleep also robs neurons of the ability to function properly,” said Fried, the study’s senior author, a professor of neurosurgery at the David Geffen School of Medicine at UCLA and Tel Aviv University. “This leads to cognitive lapses in how we perceive and react to the world around us.”
The remainder of the article is found here.
Did Eli Lilly just get into the insulin pump game?
Dexcom said today that it inked a development deal with Eli Lilly to include its continuous glucose monitor in the insulin-maker’s connected delivery devices.
The pair plans to start clinical trials by the end of this year, adding that they hope to position the combination of their technologies as a comprehensive solution for people with diabetes.
“Lilly’s Connected Diabetes Ecosystem promises to drive a significant step forward in diabetes management. As technology converges in our industry, we believe that connected systems will become the standard of care over time,” Kevin Sayer, Dexcom president & CEO said in prepared remarks.
“By combining devices, drugs and technology, we can deliver solutions that adapt to each person’s unique needs in managing their diabetes while also providing compelling advancements for both physicians and payers.”
“The Connected Diabetes Ecosystem relies not only on Lilly’s core diabetes expertise, but also the strength of our key partners such as Dexcom,” Enrique Conterno, president of Lilly Diabetes and Lilly USA, added. “Dexcom will be an important collaborator in our mission to improve outcomes and reduce the daily burden for people with diabetes.”
Daylight Saving Time to Fall Back
It's that time again and whether you are a fan of the practice of Daylight Saving Time (I thought Saving had an S at the end until today) or not, it's about to happen.
In 2017 most of our watches, clocks and appliances adjust themselves but there are still a few items in the world that aren't connected to the Internet and much of your diabetes technology falls into that category.
Don't forget to adjust the time on your meter, continuous glucose monitor and insulin pump this weekend.
The person that came up with daylight saving must have had a child with type 1 diabetes, because who else considers two in the morning to be a viable time to accomplish something?
Daylight saving officially ends this year at 2 a.m. on November 5th but you can adjust your D-tech anytime before you go to bed. Be cautious, some insulin pumps will suspend bolus calculation assistance for a period of time after your adjust it's clock - plan accordingly.
If you want to learn more about Daylight Saving there is a quick video and detailed blog post over on National Geographic that you may enjoy.