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» LymeNet Flash » Questions and Discussion » Medical Questions » IV antibiotics and Insurance

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Author Topic: IV antibiotics and Insurance
lisalymetexas
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Member # 49263

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Hello again,

I have some new questions. I need to find out who here has had a good experience with an insurance co. and IV antibiotics? Could you please send me a message and let me know who that was? Also, has anybody had a patient advocate help get them what they needed and what insurance was that.

Please let me know which ones to avoid. I am on Medicare and trying to figure out if I should switch to Medicare Advantage.

Thanks,

Lisa

Posts: 4 | From houston texas | Registered: Nov 2016  |  IP: Logged | Report this post to a Moderator
madisongrrl
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Every insurance has their own narrow criteria that they require for proof that you need IV antibiotics.

My LLMD works with BCBS, which luckily is my current insurance. I had a positive iSpot test and did oral antibiotics for about a year. I retook the iSpot test and it was still positive. This was proof to the insurance company that I failed oral treatment and got me at least 4 weeks of insurance coverage for IV. They might cover more, I just waiting on my pending insurance claim right now.

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Lymetoo
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Four weeks is the standard. Anything beyond that will be very difficult.

Also remember that most LLMD's do not take insurance, though the meds should be covered.

Good luck! [Smile]

--------------------
--Lymetutu--
Opinions, not medical advice!

Posts: 93996 | From Texas | Registered: Feb 2001  |  IP: Logged | Report this post to a Moderator
   

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