If you are medicare eligible the meter Doug mentioned is covered by medicare and probably any secondary insurance you may have. With it you take your own weekly or monthly tests depending on the test reading and call them into a private company. That company then calls your doctor or "Coumaden clinic" with the results. The clinic then calls you if the dose of medicine, coumadin, has to be adjusted. I fortunately am not on coumadin now but was once told I needed to be on it for the rest of my life. Long story but with second opinions, more testing and more dr's I managed to stay off it. Cannot address bleeding, but with the the two it is a problem. I would be getting second and / or other opinions.