Posts: 2234
From: The Moon
Registered: Jun 2004

posted 28 February 2005 21:26            

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Yes.. another poll question. Thanks for helping out.

I would like to know..

YES or NO.

If you HAVE it....

Have you had any trouble getting insurance to pay?

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Posts: 1411
From: The Moon
Registered: Aug 2001

posted 28 February 2005 21:31            

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Tin, what's up with all the polls? You running for office?

I'm happy to buy a pencil from your "tincup" but my incalculable "lost income" went towards my treatment for countless MDs that my insurance co wouldn't pay for. <>

What happened to your class action lawsuit from '01?

[This message has been edited by Foggy (edited 28 February 2005).]

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Posts: 627
From: Texas
Registered: Mar 2004

posted 28 February 2005 21:32            

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They wouldn't pay for my Bicillin. I was out about $800-1000 before I changed abx. Other than that they've covered pretty well.

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Posts: 169
From: Northern VA
Registered: Oct 2004

posted 28 February 2005 21:33               

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Yes (my old insurance)

No (my new insurance, so far)

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Posts: 2234
From: The Moon
Registered: Jun 2004

posted 28 February 2005 21:42            

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Foggy...

The folks we could get help for.. got help back then.

See this post for answers to your questions.

Thanks!

http://flash.lymenet.org/ubb/Forum1/HTML/032006.html

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Posts: 38
From: Birmingham, AL, USA
Registered: Jan 2005

posted 28 February 2005 21:52            

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No trouble, so far.

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Posts: 112
From: USA
Registered: Sep 2003

posted 28 February 2005 22:03            

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Very fortunate that insurance has covered all expenses so far.

Not so fortunate with the lost income.

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Posts: 9
From: Frederick, Maryland, USA
Registered: Jun 2003

posted 28 February 2005 22:04               

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The only major problem I've had with my insurance company is finding adequate "in-network" providers which they will pay at 100%.
Most of the LLMD's are out of network and also the infusion service which I get my IV abx is out of network, but they will still pay 60%. My insurance also has an annual out of pocket max of $8,000.00, which was a saving grace last year.

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Posts: 1233
From: USA
Registered: Apr 2004

posted 28 February 2005 22:25               

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I have not even tried to get insurance to pay. I know they are too cheap.

They will pay for my medication but that's it.

So it's out of pocket for the llmd visits (he is not on their 'list' for doctors to see) and igenex testing

Oh, my old insurance (blue cross) only allowed me 6 pills of Zith (I took 2 a day) for $20. So every 3 days of Zith cost me $20. I found that ridiculous!!!!!!!

[This message has been edited by JillF (edited 01 March 2005).]

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Posts: 1779
From: Rochester, MA
Registered: Oct 2000

posted 28 February 2005 22:27               

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Yes for one of my old insurances.

My current insurance was doing well until this past week. I'm now having to fight for non-antibiotic treatment (daily IV hydration to help with neurocardiogenic syncope and energy level). This is partially due to my dr.'s office screwing up, but that's another post.

--Annie

------------------


Click here to join Lyme Pals.

Click here to see my Lyme journal.

Lyme Out Retreat Information Webpage

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Posts: 1600
From: California
Registered: Nov 2003

posted 28 February 2005 23:31            

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No trouble with insurance.

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Posts: 21
From: berkeley, ca, usa
Registered: Jan 2005

posted 28 February 2005 23:45               

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Yes, don't cover llmd services. Also can't find any docs in network who will go along w/dx.

So far meds have been covered...

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Posts: 1623
From: WA
Registered: Jan 2004

posted 28 February 2005 23:46               

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Yes.

Trouble on 5 separate occaisions paying for medicines, with 2 out of 4 different insurance companies. Worst problems were with IV meds.

Ins. payment for visits to LLMD and for some blood tests has mostly been neglibible to non-existant. (That is, I pay about 90% of these costs myself).

My experience with medical insurance varies from excellent to nightmarish.

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Posts: 108
From: Louisiana
Registered: Oct 2004

posted 01 March 2005 00:17            

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my insurance company so far has been great........

------------------
Debbie V.

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Posts: 463
From:
Registered: Jul 2003

posted 01 March 2005 00:25            

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No problems what-so-ever

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Posts: 2004
From: Ohio
Registered: Oct 2000

posted 01 March 2005 00:29               

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Insurance allmost cost me my life,their refusing to pay for the lyme specialist ,caused me the loss of my gall bladder.The ins, has never paid for what I need or for the doc. I need. I call them United No Health care. MADDOG

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Posts: 521
From: Los Angeles, CA, USA
Registered: Jun 2003

posted 01 March 2005 00:31               

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No problems with insurance here either.

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Posts: 47
From: Kansas City, MO
Registered: Sep 2004

posted 01 March 2005 01:08               

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No problems with insurance whatsoever.

I'm overweight as a result of the hormone problems and was considering Gastric Bypass as a means of dealing with the weight. Insurance agreed to pay for the bypass, but had noted the hormone issues from previous test results. They contacted me and suggested I seek treatment for the hormomes before doing the surgery, knowing full well that the hormones could end up costing them more.

???

I can't say enough good things about my insurance co.

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Posts: 8
From:
Registered: Mar 2005

posted 01 March 2005 01:09            

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Yes... had trouble getting more than 4 weeks IV. They eventually extended it... by 2 weeks.

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Posts: 331
From: SW Florida
Registered: Sep 2002

posted 01 March 2005 01:12               

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Only trouble with insurance was in getting an adequate number of weeks for IV Rocephin. They stopped paying after 4 weeks, fought for more and got an additional 2, that was all.

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Posts: 2661
From: CA USA
Registered: Dec 2002

posted 01 March 2005 03:00               

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HMO=====YES

PPO======YES

MediCAL------YES

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Posts: 289
From:
Registered: Nov 2004

posted 01 March 2005 05:17            

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oh yeah....all my insurance companies have tried to get out of paying for treatments by using the prashing "beyond reasonable and customary" blah blah blah

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Posts: 289
From:
Registered: Nov 2004

posted 01 March 2005 05:42            

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I applaud your work (and anyone else involved) in this worthy cause. I'm sure you are working your butt off to give us a voice.

I realize that the Northeast has been hit particularly hard by these issues, but in your humble opinion, how do we get similar hearings for other regions of the country. For example, although I was infected in the Northeast, but now live elsewhere, how do I (and others in similar position} feel like we can participate and get fair representation in othe states who are so far behind, they don' t even know what Lyme is?

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Posts: 29
From: NY
Registered: Oct 2004

posted 01 March 2005 07:24            

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They have denied all my claims and have deniied all referral my peditrician has put in for lyme doctor and labs. I think is only a matter of time that they will deny ABX if they are ordered by our lyme doctor. They are saying he is out of network and someone where I live can treat. They will not tell me who that mysterious person is.

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Posts: 388
From: Central Texas
Registered: Oct 2004

posted 01 March 2005 09:17               

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No problems yet.

[This message has been edited by James H (edited 04 March 2005).]

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