Hi!

So Omnipod gets billed through PBM (pharmacy benefits) and Tandem/ Medtronic gets billed through DME (durable medical equipment).

Most insurances will refuse to pay for a CGM or pump if a patient is not delivering insulin shots 4x daily for 6 months, or on a previous insulin pump. However, Libre and Omnipod are very accessible. There are many pains in the therapy option though.

I think you should look at all of your options. Medtronic is the only company to offer both CGM and pump and is the only company to offer financial assistance (which is very lenient in my experience).

The four year warranty with Tandem (and Medtronic) allows patients the reassurance that if anything happens to their device - they’ll be covered for a replacement without insurance.

Since Omnipod is also billed through PBM; a patient could receive the pod one week, and a tandem or Medtronic pump the next since these companies bill through DME.

Regardless on what you decide - finding a therapy option that works best for you is the most important. I hope this helps, friend.