Help Us Expand Health Plan Coverage for CGMs Thank you for supporting JDRF's CGM Coverage Campaign. We wanted to share with you an opportunity to provide your thoughts about the importance of a CGM in your or your loved one's life. The brief survey below will allow you to share your story and update your contact information and  health insurance company in case it has recently changed. Instructions: If you are already a JDRF advocate and you do not see your contact information in the fields below, click here to login or to request your username and password. If you're not an advocate, you can simply enter your contact information in these fields. After you have confirmed or provided your contact information, complete and submit the brief survey. Click here to learn more about why we need your health plan information. Thank you again for your participation. If you have any questions, please contact us at advocacy@jdrf.org. 1. Cons360Info If you have previously registered, please to prepopulate your information. * Name: Title  First Required  Last Required  Mr. Ms. Mrs. Miss Dr.       * Email: Required * Street 1: Required   Street 2: * City/State/ZIP: City Required State Required  ZIP Required    AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AS FM GU MH MP PR PW VI AA AE AP AB BC MB NB NL NS NT NU ON PE QC SK YT None     Phone Number:   Yes, I would like to become a JDRF advocate and receive email from Juvenile Diabetes Research Foundation International   Remember me. What's this? *2. Which company provides your health insurance? (Select one of the available choices or enter a different value.) Question - Required -Which company provides your health insurance? Click this to indicate that you will select an existing value. Tab to next input." Which company provides your health insurance? Please select response Aetna Blue Cross Blue Shield of IL (Healthcare Services) Blue Cross Blue Shield of MA CIGNA Group Health Harvard Pilgrim Highmark Blue Cross Blue Shield Horizon Blue Cross Blue Shield Humana Kaiser Permanente Tufts Associated Health Plan UnitedHealth Group Wellpoint Which company provides your health insurance? Click this to indicate that you will enter a new value. Tab to next input." Which company provides your health insurance? Provide your answer here *3. Are you seeking CGM coverage or do you already have CGM coverage? (Select one of the available choices or enter a different value.) Question - Required -Are you seeking CGM coverage or do you already have CGM coverage? Click this to indicate that you will select an existing value. Tab to next input." Are you seeking CGM coverage or do you already have CGM coverage? Please select response Seeking CGM coverage Already have CGM Coverage Are you seeking CGM coverage or do you already have CGM coverage? Click this to indicate that you will enter a new value. Tab to next input." Are you seeking CGM coverage or do you already have CGM coverage? Provide your answer here *4. Question - Required - In the box below, briefly tell us your story - either how you or your loved ones can benefit from having the CGM covered by your healthcare provider or how having a CGM has made your life better. 5. Question - Not Required - Are you or a family member employed by the federal government? (This information will help our campaign for government coverage of CGMs.) Please select response Yes No Spam Control Text:   Please leave this field empty