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Equitable Care for Diverse Individuals and Populations

(D22) Standing Up for Access: Navigating Insurance Constraints for Pediatric Diabetes Care

Sunday, August 9, 2026
1:55 PM - 2:40 PM ET
CE: .75 CE
Securing insurance approval for diabetes supplies in pediatric patients presents significant challenges. Our story highlights the creative problem-solving required to overcome these barriers, completed by patient navigators. We detail the complexities of navigating managed care policies, the frequent denials based on restrictive criteria, and the emotional toll experienced by families and prescribers alike. Through real-world examples, we share strategies used to appeal denials, educate providers, and empower families. Our experience underscores the urgent need for policy reform and greater awareness of the unique needs of children with diabetes. The current environment in managed care remains fluid; patient navigators involved in care coordination are essential in breaking down the gatekeeper's wall.

Learning Objectives:

At the completion of this activity, participants should be able to:
  • Describe common insurance barriers limiting timely access to diabetes supplies.
  • Explain the impact of restrictive managed care policies on families and providers during new onset T1D diagnosis.
  • Recognize the role of patient navigators as part of the diabetes team in breaking down systemic barriers.
Disclosure(s):
Nicole Barnes, n/a: No financial relationships to disclose
Jessika Troche, MS, RD, LD, CDCES: No financial relationships to disclose
Kyle Lavka, MS, RD, LD, CDCES: No financial relationships to disclose