# Healthcare & Insurance Issue Support **URL:** https://forum.breakthrought1d.org/c/healthcare-insurance-support/172.md [Latest](https://forum.breakthrought1d.org/latest.md) · [Categories](https://forum.breakthrought1d.org/categories.md) --- ## [About the Healthcare & Insurance Issue Support category](https://forum.breakthrought1d.org/t/about-the-healthcare-insurance-issue-support-category/73501)
**Author:** [@Pookiemom](https://forum.breakthrought1d.org/u/Pookiemom)\ **Replies:** 0
Get your questions answered by people who’ve had similar issues. --- ## [Navigating Insurance](https://forum.breakthrought1d.org/t/navigating-insurance/75236)
**Author:** [@DBrim](https://forum.breakthrought1d.org/u/DBrim)\ **Replies:** 6\ **Last updated:** [September 26, 2026, 8:27pm UTC](https://forum.breakthrought1d.org/t/navigating-insurance/75236 "2026-09-26T20:27:02Z")
I just made an account, and I’ve seen a few posts about insurance difficulties, so I thought I’d write up some tricks I’ve learned to get all your diabetes-related stuff cheaper. I’m a clinical pharmacist, diabetes educ… --- ## [US Meds & BCBS fraud?](https://forum.breakthrought1d.org/t/us-meds-bcbs-fraud/74799)
**Author:** [@ShashInEHT](https://forum.breakthrought1d.org/u/ShashInEHT)\ **Replies:** 5\ **Last updated:** [August 14, 2026, 1:36pm UTC](https://forum.breakthrought1d.org/t/us-meds-bcbs-fraud/74799 "2026-08-14T13:36:46Z")
Rant here! Back in 2024, my co-pay went from $28.25 to $78.12 and I was wondering if anyone else has had this issue… US Meds started billing $520.80 every month instead of the $188.35 per month to CareCentrix (the middle… --- ## [Health insurance coverage and diabetes care survey](https://forum.breakthrought1d.org/t/health-insurance-coverage-and-diabetes-care-survey/75203)
**Author:** [@spdif](https://forum.breakthrought1d.org/u/spdif)\ **Replies:** 0\ **Last updated:** [July 22, 2026, 12:05am UTC](https://forum.breakthrought1d.org/t/health-insurance-coverage-and-diabetes-care-survey/75203 "2026-07-22T00:05:36Z")
From the the July 2026 Breakthrough T1D Pipeline email Breakthrough T1D is seeking input from people living with T1D and caregivers of individuals with T1D to better understand experiences with health insurance coverag… --- ## [Transition from Pediatric to Adult Endo](https://forum.breakthrought1d.org/t/transition-from-pediatric-to-adult-endo/75181)
**Author:** [@fliao](https://forum.breakthrought1d.org/u/fliao)\ **Replies:** 3\ **Last updated:** [June 28, 2026, 2:30am UTC](https://forum.breakthrought1d.org/t/transition-from-pediatric-to-adult-endo/75181 "2026-06-28T02:30:13Z")
Hi everyone! Recently, I had to stop going to my pediatric endocrinologist with whom I had built a relationship since I was diagnosed. The office and her expertise felt very centered around Type 1 Diabetes. I have been t… --- ## [Costco Mail Order Pharmacy Mini Review](https://forum.breakthrought1d.org/t/costco-mail-order-pharmacy-mini-review/75136)
**Author:** [@spdif](https://forum.breakthrought1d.org/u/spdif)\ **Replies:** 0\ **Last updated:** [April 25, 2026, 1:18am UTC](https://forum.breakthrought1d.org/t/costco-mail-order-pharmacy-mini-review/75136 "2026-04-25T01:18:28Z")
Health plan changed to Caremark this year, I’m not a fan of their mail order pharmacy, new plan says I get 90 day fill from any in network pharmacy for the same copay. I gave Costco’s Mail Order Pharmacy a whirl for my … --- ## [Medicare Coverage Part B for Insulin](https://forum.breakthrought1d.org/t/medicare-coverage-part-b-for-insulin/72783)
**Author:** [@barb2](https://forum.breakthrought1d.org/u/barb2)\ **Replies:** 25\ **Last updated:** [March 30, 2026, 10:52pm UTC](https://forum.breakthrought1d.org/t/medicare-coverage-part-b-for-insulin/72783 "2026-03-30T22:52:02Z")
I’m navigating the Medicare approval for insulin use in pumps….in particular the Omnipod. The language for Medicare coverage for insulin under Part B states it does not cover insulin (unless use of an insulin pump is med… --- ## [Dementia & T1D](https://forum.breakthrought1d.org/t/dementia-t1d/75051)
**Author:** [@NatS](https://forum.breakthrought1d.org/u/NatS)\ **Replies:** 8\ **Last updated:** [January 27, 2026, 8:50pm UTC](https://forum.breakthrought1d.org/t/dementia-t1d/75051 "2026-01-27T20:50:35Z")
Hi everyone, My dad is 68 years old and has had T1D for 55 years. A few months ago, he had a stroke and developed vascular dementia from it. Overnight, he went from being 100% able to manage his diabetes to now not even… --- ## [Blue Circle Health - Now available in 20 states and Washington, D.C](https://forum.breakthrought1d.org/t/blue-circle-health-now-available-in-20-states-and-washington-d-c/74976)
**Author:** [@CommunityAdmin](https://forum.breakthrought1d.org/u/CommunityAdmin)\ **Replies:** 4\ **Last updated:** [December 21, 2025, 12:16am UTC](https://forum.breakthrought1d.org/t/blue-circle-health-now-available-in-20-states-and-washington-d-c/74976 "2025-12-21T00:16:25Z")
Hi all, we are excited to share another update about the expansion of Blue Circle Health! Blue Circle Health is a 501(c)(3) nonprofit organization that provides free virtual care, education, and support for adults with … --- ## [Endo not covered? Ask for a Good Faith Estimate](https://forum.breakthrought1d.org/t/endo-not-covered-ask-for-a-good-faith-estimate/74986)
**Author:** [@spdif](https://forum.breakthrought1d.org/u/spdif)\ **Replies:** 0\ **Last updated:** [November 1, 2025, 11:15pm UTC](https://forum.breakthrought1d.org/t/endo-not-covered-ask-for-a-good-faith-estimate/74986 "2025-11-01T23:15:57Z")
I had an appointment scheduled with an endo that I’m 99.999% sure my health plan isn’t going to pay for so I asked for a good faith estimate (GFE). The law requiring GFEs took effect in 2022 so they’re still kinda new in… --- ## [Flu Vaccine 2025](https://forum.breakthrought1d.org/t/flu-vaccine-2025/74909)
**Author:** [@wadawabbit](https://forum.breakthrought1d.org/u/wadawabbit)\ **Replies:** 6\ **Last updated:** [August 12, 2025, 4:57pm UTC](https://forum.breakthrought1d.org/t/flu-vaccine-2025/74909 "2025-08-12T16:57:50Z")
I went to pick up a prescription yesterday and the pharmacist let me know flu shots are available. It seemed earlier this year but he said they are trying to have them available in time for the start of school. He remind… --- ## [Flu shot, Covid booster](https://forum.breakthrought1d.org/t/flu-shot-covid-booster/73364)
**Author:** [@rlozano](https://forum.breakthrought1d.org/u/rlozano)\ **Replies:** 15\ **Last updated:** [November 21, 2023, 3:37am UTC](https://forum.breakthrought1d.org/t/flu-shot-covid-booster/73364 "2023-11-21T03:37:45Z")
Hi. My son is 11. He was diagnosed 4 months ago. We are all planning on getting flu and covid booster this year, but I wonder how significant his blood sugar reaction will be to the vaccines. Thank you. --- ## [Blue Circle Health Support for People with T1D is Expanding](https://forum.breakthrought1d.org/t/blue-circle-health-support-for-people-with-t1d-is-expanding/74660)
**Author:** [@CommunityAdmin](https://forum.breakthrought1d.org/u/CommunityAdmin)\ **Replies:** 2\ **Last updated:** [August 8, 2025, 6:27pm UTC](https://forum.breakthrought1d.org/t/blue-circle-health-support-for-people-with-t1d-is-expanding/74660 "2025-08-08T18:27:14Z")
Hi all–Kristin from Breakthrough T1D Community Engagement here. You may have seen previous posts about Blue Circle Health, a a nonprofit organization offering a free virtual type 1 diabetes clinical care, education, and … --- ## [Your experience with taking prednisone](https://forum.breakthrought1d.org/t/your-experience-with-taking-prednisone/74762)
**Author:** [@parkerbe](https://forum.breakthrought1d.org/u/parkerbe)\ **Replies:** 8\ **Last updated:** [August 5, 2025, 6:12pm UTC](https://forum.breakthrought1d.org/t/your-experience-with-taking-prednisone/74762 "2025-08-05T18:12:26Z")
With 35 years of T1D, I have only once had to take a steriod and that was a one time shot. I was just prescribed 7 days of 20 mcg of prednisone twice a day (which from what I read, seems like a high dosage). I was wond… --- ## [Medicare Part B Pump coverage doctor visit requirements](https://forum.breakthrought1d.org/t/medicare-part-b-pump-coverage-doctor-visit-requirements/74793)
**Author:** [@spdif](https://forum.breakthrought1d.org/u/spdif)\ **Replies:** 5\ **Last updated:** [June 16, 2025, 11:10pm UTC](https://forum.breakthrought1d.org/t/medicare-part-b-pump-coverage-doctor-visit-requirements/74793 "2025-06-16T23:10:25Z")
@HighHopes I created a new topic for your question. The answer is in the Medicare Infusion Pump LCD (Local Coverage Determination). As of May 2025 it says: Continued coverage of an external insulin pump and supplie… --- ## [Insulin for $35?](https://forum.breakthrought1d.org/t/insulin-for-35/73573)
**Author:** [@Mlp1124](https://forum.breakthrought1d.org/u/Mlp1124)\ **Replies:** 25\ **Last updated:** [June 2, 2025, 4:28pm UTC](https://forum.breakthrought1d.org/t/insulin-for-35/73573 "2025-06-02T16:28:41Z")
Hi All! I hope everyone is doing great! My mom told me about insulin for $35. She is saying it is for everyone but I keep seeing it is only for Medicare recipients. I am 35, so not on Medicare quite yet. Anyone have any… --- ## [Insulin prescriptions](https://forum.breakthrought1d.org/t/insulin-prescriptions/74680)
**Author:** [@EW1](https://forum.breakthrought1d.org/u/EW1)\ **Replies:** 3\ **Last updated:** [June 2, 2025, 4:13pm UTC](https://forum.breakthrought1d.org/t/insulin-prescriptions/74680 "2025-06-02T16:13:21Z")
My pharmacy refused to fill my Medicare B insulin prescription due to insufficient reimbursement from Medicare B claims. Was told other pharmacies are wanting to do likewise. Anyone else having this issue and do you ha… --- ## [Libre 3 Reader & Medicare](https://forum.breakthrought1d.org/t/libre-3-reader-medicare/74658)
**Author:** [@Dave52](https://forum.breakthrought1d.org/u/Dave52)\ **Replies:** 7\ **Last updated:** [February 27, 2025, 11:35am UTC](https://forum.breakthrought1d.org/t/libre-3-reader-medicare/74658 "2025-02-27T11:35:11Z")
Greetings, I received an email from Abbott informing me the Libre 3 will be discontinued September, 2025. My DME provided was not even aware of that. Since moving to the Libre 3, I have only been using the Android pho… --- ## [Medical supply company recommendations](https://forum.breakthrought1d.org/t/medical-supply-company-recommendations/73158)
**Author:** [@Jophilly](https://forum.breakthrought1d.org/u/Jophilly)\ **Replies:** 18\ **Last updated:** [March 25, 2025, 2:28am UTC](https://forum.breakthrought1d.org/t/medical-supply-company-recommendations/73158 "2025-03-25T02:28:27Z")
Hi Everybody, Due to a change in insurance last year, my CGM supplies are no longer a ‘pharmacy’ item and instead are a ‘durable medical equipment’ item- that requires I order through a medical supply company. I’ve been … --- ## [New endocrinologist](https://forum.breakthrought1d.org/t/new-endocrinologist/74683)
**Author:** [@madgu3](https://forum.breakthrought1d.org/u/madgu3)\ **Replies:** 1\ **Last updated:** [March 13, 2025, 2:55am UTC](https://forum.breakthrought1d.org/t/new-endocrinologist/74683 "2025-03-13T02:55:14Z")
Im in need of a new endocrinologist. I just moved to the Sacramento area. Any recommendations? --- ## [Moving to Northern California](https://forum.breakthrought1d.org/t/moving-to-northern-california/74573)
**Author:** [@Anka30](https://forum.breakthrought1d.org/u/Anka30)\ **Replies:** 4\ **Last updated:** [March 4, 2025, 2:02am UTC](https://forum.breakthrought1d.org/t/moving-to-northern-california/74573 "2025-03-04T02:02:26Z")
We’ll be moving in the summer to Northern California. We haven’t decided on the exact area yet. I was wondering how easy it is to get access to an endocrinologist that knows about type 1 diabetes in Sacramento, Fairfield… --- ## [Medicare Part B/Advantage Plans for Dexcom and TSlim Coverage](https://forum.breakthrought1d.org/t/medicare-part-b-advantage-plans-for-dexcom-and-tslim-coverage/73620)
**Author:** [@art00r](https://forum.breakthrought1d.org/u/art00r)\ **Replies:** 62\ **Last updated:** [January 14, 2025, 2:33pm UTC](https://forum.breakthrought1d.org/t/medicare-part-b-advantage-plans-for-dexcom-and-tslim-coverage/73620 "2025-01-14T14:33:04Z")
Hi All, Totally at a loss here- can’t get any consistent info from the Medicare desk or insurance providers, and I’m hoping someone here can share their experience to help me decide what plan to get on. I recently lost… --- ## [ACA Plans in Union County North Carolina](https://forum.breakthrought1d.org/t/aca-plans-in-union-county-north-carolina/74528)
**Author:** [@hrdjfb](https://forum.breakthrought1d.org/u/hrdjfb)\ **Replies:** 5\ **Last updated:** [December 15, 2024, 10:47am UTC](https://forum.breakthrought1d.org/t/aca-plans-in-union-county-north-carolina/74528 "2024-12-15T10:47:46Z")
My grandson was diagnosed with Type 1 diabetes four days ago. His parents were advised to sign up for an ACA Plan for 2025 that was better suited to address the needs of a T1D child. They have little time to research t… --- ## [Medicare and vacation override](https://forum.breakthrought1d.org/t/medicare-and-vacation-override/74492)
**Author:** [@DanielleHouret](https://forum.breakthrought1d.org/u/DanielleHouret)\ **Replies:** 11\ **Last updated:** [November 19, 2024, 12:51am UTC](https://forum.breakthrought1d.org/t/medicare-and-vacation-override/74492 "2024-11-19T00:51:11Z")
I need help as I have several long overseas trips planned and I’m wondering how I can get enough of my Dexcom supplies before I leave town. My next shipment is due right after I am scheduled to leave and I can’t figure o… --- ## [Support for Adults with T1D in FL, ME and VT](https://forum.breakthrought1d.org/t/support-for-adults-with-t1d-in-fl-me-and-vt/74381)
**Author:** [@CommunityAdmin](https://forum.breakthrought1d.org/u/CommunityAdmin)\ **Replies:** 8\ **Last updated:** [October 16, 2024, 7:11am UTC](https://forum.breakthrought1d.org/t/support-for-adults-with-t1d-in-fl-me-and-vt/74381 "2024-10-16T07:11:14Z")
Hi all–Kristin from Breakthrough T1D Community Engagement here. We wanted to share some updated information about another 501(c)(3) nonprofit serving the T1D community, Blue Circle Health. (You may have seen information… --- ## [Endo Recommendation: Sarasota/Tampa, Florida](https://forum.breakthrought1d.org/t/endo-recommendation-sarasota-tampa-florida/72348)
**Author:** [@gogetter](https://forum.breakthrought1d.org/u/gogetter)\ **Replies:** 3\ **Last updated:** [October 9, 2024, 10:05pm UTC](https://forum.breakthrought1d.org/t/endo-recommendation-sarasota-tampa-florida/72348 "2024-10-09T22:05:15Z")
Hello, I am moving to this area and am wondering if anyone recommends a good endo (or even an endo to avoid). I will have FL Blue insurance. Thanks! --- ## [Price of insulin](https://forum.breakthrought1d.org/t/price-of-insulin/74292)
**Author:** [@G.Vaishampayan](https://forum.breakthrought1d.org/u/G.Vaishampayan)\ **Replies:** 3\ **Last updated:** [September 21, 2024, 12:35am UTC](https://forum.breakthrought1d.org/t/price-of-insulin/74292 "2024-09-21T00:35:45Z")
Hi everyone! I’m collecting research about extent to which the Inflation Reduction Act has effected the cost of insulin. I really need the perspective of T1 diabetics living in the U.S so please fill in my google form (r… --- ## [Replacement Dexcom G7](https://forum.breakthrought1d.org/t/replacement-dexcom-g7/74347)
**Author:** [@coachfrank](https://forum.breakthrought1d.org/u/coachfrank)\ **Replies:** 5\ **Last updated:** [September 7, 2024, 11:12pm UTC](https://forum.breakthrought1d.org/t/replacement-dexcom-g7/74347 "2024-09-07T23:12:10Z")
Hello to everyone. Our 13yo son was diagnosed in March of this year. He is non-verbal, autistic and has developmental delays. Due to his autism, he gets fixated on his G& sensor some times and like to pull them out. We’v… --- ## [T1D Free Healthcare Support](https://forum.breakthrought1d.org/t/t1d-free-healthcare-support/73312)
**Author:** [@gmershon](https://forum.breakthrought1d.org/u/gmershon)\ **Replies:** 5\ **Last updated:** [September 6, 2024, 9:34pm UTC](https://forum.breakthrought1d.org/t/t1d-free-healthcare-support/73312 "2024-09-06T21:34:30Z")
I found a video from bluecirclehealth.org who provides free diabetes healthcare for those in need. They offer clinical, education and support for 3-6month period. Their eligibility criteria is: only diagnosed T1D 18 ye… --- ## [Lack of Awareness of Other T1D Costs?](https://forum.breakthrought1d.org/t/lack-of-awareness-of-other-t1d-costs/72921)
**Author:** [@DarrenCelley](https://forum.breakthrought1d.org/u/DarrenCelley)\ **Replies:** 4\ **Last updated:** [April 11, 2023, 12:54pm UTC](https://forum.breakthrought1d.org/t/lack-of-awareness-of-other-t1d-costs/72921 "2023-04-11T12:54:06Z")
Hi folks, I’m Darren and I have had T1D for 14 years and I am based in the USA. Most people know that Insulin is expensive, especially people in our community. However, I have a hard time finding acknowledgement of how e… [Next page](https://forum.breakthrought1d.org/c/healthcare-insurance-support/172.md?page=1)