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by vineyardmike 662 days ago
Each insurance is different, of course, and it depends on the patient. It also varies if you’re type 1 or 2, and if you’re prescribed insulin. I’m not either, so I don’t know for sure. The American healthcare system (which I am part of) is pretty opaque.

That said, I’ve heard people quote an insurance price of about $100/mo for a g7 (which is the same as this), and Medicare should cover it outright. I’ve seen companies sells the G7 for ~$200/mo if you don’t have insurance, but without a prescription I’ve never actually gone and bought one so I don’t know if I’m missing something.

1 comments

The opaqueness is exactly why

> If you have T1d, you've been able to get the prescription-variant of this product for years with insurance, so there really is no reason to get this unless you're un-insured.

is dishonest at face value.

The OOP cost can wildly vary per insurer. As important is whether or not the insurance company covers it when you need it.

Typically insurance only covers 30 days at a time. That means on day 29, insurance will refuse to cover the cost at the pharmacy.

Real world schedules, flukey tech and devices, fluctuating pharmacy inventory, and occasionally needing an endo to confirm that you still aren’t the first person in human history to reverse Type 1 diabetes, etc. make “this was covered by prescription insurance” a flimsy-at-best argument against T1Ds considering this.