LymeNet Flash: VIRGINIA Residents- Insurance problems?

The Lyme Disease Network receives a commission from Amazon.com for each purchase originating from this site. When purchasing from Amazon.com, please click here first:

Dedicated to the Bachmann Family

The Lyme Disease Network is a non-profit organization funded by individual donations. If you would like to support the Network and the LymeNet system of Web services, please click on the "Make a Donation" button to the left, or send your donations to:
The Lyme Disease Network of New Jersey
43 Winton Road
East Brunswick, NJ 08816 USA
In the United States, your donations are tax deductible.

»	LymeNet Flash » Questions and Discussion » Activism » VIRGINIA Residents- Insurance problems?

UBBFriend: Email this page to someone!

Author

Topic: VIRGINIA Residents- Insurance problems?

Tincup
Honored Contributor (10K+ posts)
Member # 5829

posted

If you have an insurance policy in Virginia and have been denied reimbursement, you can do a couple of things.

1. You can contact the Virginia State Corporation Commission, Bureau of Insurance, specifically the Office of the Managed Care Ombudsman.

They said it is best to call them first to be sure they can help you; no sense doing a lot of paper work if they can't, which made sense to me.

If you'd prefer to email them, their email address is also listed below.

Phone: 877-310-6560 (toll free)

Email: ombudsman@scc.virginia.gov

Website with instructions and forms:

http://www.scc.virginia.gov/division/boi/webpages/boiombudman.asp

AND/OR.....

2. File a “quality of care” complaint with the VA Department of Health. You might want to ask why your insurance company is basing their decisions on IDSA Guidelines that have been found to be developed in a corrupt process.

Website: http://www.vdh.state.va.us/OLC/Complaint/

Phone- Toll Free: 1-800-955-1819 or
Metro Richmond area: (804) 367-2106

Email: mchip@vdh.virginia.gov

``````````````````````````````````````````````````

The other night I was reading a transcript from a court case about Lyme and the testimony from an insurance guy. Bottom line- they will often deny patients with Lyme right off the bat to save $$... but they usually will pay if an appeal is filed.

So NEVER let it drop when you are denied. Fight for your rights! And make it easier on yourself by getting help from the above agencies when doing so. I found some of them to be very helpful and surprisingly, very Lyme literate.

Good luck!

[Big Grin]

--------------------
If takes all the future, we'll live through the past,
If the phone doesn't ring, it's me.

www.MarylandLyme.org

Posts: 11735 | From The Moon | Registered: Jun 2004 | IP: Logged |

Printer-friendly view of this topic

Contact Us | LymeNet home page | Privacy Statement

© 1994-2010 The Lyme Disease Network of New Jersey, Inc.
All Rights Reserved.
Use of the LymeNet Site is subject to the Terms and Conditions.

Powered by UBB.classic™ 6.7.3