Insurance Coverage – Drug Pumps
Drug delivery therapy is covered in all 50 states and Puerto Rico by Medicare, as well as by many private insurance companies.
Typically, your doctor will work with you to get prior approval from your insurance company. He or she will send a letter of medical necessity explaining why drug delivery therapy is right for you, and confirming that more conservative treatments have been unsuccessful.
Sometimes insurance companies are unfamiliar with drug delivery therapy and may turn down your initial request. Don’t be alarmed if this happens to you. Often, sending more information as part of an appeal can be helpful. Members of the Medtronic Coverage and Authorization Services Group will guide your doctor through the approval process.
Medicare
Drug pumps are approved for coverage by Medicare. Medicare will pay 80% of the cost as long as the procedure is determined to be medically necessary. Talk with your doctor about the Medicare Conditions of Coverage.
Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.
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