LymeNet Home LymeNet Home Page LymeNet Flash Discussion LymeNet Support Group Database LymeNet Literature Library LymeNet Legal Resources LymeNet Medical & Scientific Abstract Database LymeNet Newsletter Home Page LymeNet Recommended Books LymeNet Tick Pictures Search The LymeNet Site LymeNet Links LymeNet Frequently Asked Questions About The Lyme Disease Network LymeNet Menu

LymeNet on Facebook

LymeNet on Twitter




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.

Thank you.

LymeNet Flash Discussion
Dedicated to the Bachmann Family

LymeNet needs your help:
LymeNet 2020 fund drive


The Lyme Disease Network is a non-profit organization funded by individual donations.

LymeNet Flash Post New Topic  New Poll  Post A Reply
my profile | directory login | register | search | faq | forum home

  next oldest topic   next newest topic
» LymeNet Flash » Questions and Discussion » Medical Questions » Who is covered by worker's comp for lyme?

 - UBBFriend: Email this page to someone!    
Author Topic: Who is covered by worker's comp for lyme?
riverpatrol
Member
Member # 12182

Icon 1 posted      Profile for riverpatrol     Send New Private Message       Edit/Delete Post   Reply With Quote 
Hoping I can get some feedback from some folks regarding worker's comp coverage.

I have worker's comp coverage for my lyme. Does worker's comp follow the same or similar coverage practices as regular health insurance companies?

My doctors are always saying they won't prescribe something because insurance might not cover it. I have never been treated with IM bicillin or any IV because of this excuse.

Any ideas?

Posts: 69 | From So Cal | Registered: Jun 2007  |  IP: Logged | Report this post to a Moderator
bettyg
Unregistered


Icon 5 posted            Edit/Delete Post   Reply With Quote 
are you a member of DISINISSUES where you could ask that in their OFF TOPIC BOARD?

[group hug] [kiss]

haven't talked to you in ages! how are things going for you? i've missed you.

IP: Logged | Report this post to a Moderator
lpkayak
Honored Contributor (10K+ posts)
Member # 5230

Icon 1 posted      Profile for lpkayak     Send New Private Message       Edit/Delete Post   Reply With Quote 
i know of one person who got it-he was a surveyer-but i don't now him well or how to contact him or anything about his tx

i do know many who tried to get it and failed.

they are pretty hard to work with in ny anyway

--------------------
Lyme? Its complicated. Educate yourself.

Posts: 13712 | From new england | Registered: Feb 2004  |  IP: Logged | Report this post to a Moderator
riverpatrol
Member
Member # 12182

Icon 1 posted      Profile for riverpatrol     Send New Private Message       Edit/Delete Post   Reply With Quote 
Thanks Bettyg, I'll look into that. Although it's not really the same as SSDI.

I actually consulted with a worker's comp lawyer about coverage, and he said "they will cover everything". He even said "if your doctor says you need a jacuzzi, the government will pay for it". In terms of a broken arm he's probably right, but we all know that lyme treatment is not so cut and dry.

They are a little difficult to deal with, but I don't think any more so than a regular insurance co. I had to submit a mountain of paperwork to get reimbursed for my out-of-pocket expenses. Some they covered 100% (co-pays, etc), some they covered partial (medical supplies) and some they didn't cover at all (lab tests, supplements).

My LLMD actually enrolled as a worker's comp provider, and is billing them direct. He says they actually pay better than my insurance co was!

I'm just wondering if we can push the envelope with them and prescribe some of the more serious treatment. And I wonder how long they might cover IV if it went that way.

I got covered by worker's comp because I contracted lyme while I was working as a volunteer for the US Forest Service. They didn't even hesitate to cover me, once the paperwork was submitted to them. No questions asked. So I'm covered by the US Department of Labor - deep pockets! I just wonder how deep...

Posts: 69 | From So Cal | Registered: Jun 2007  |  IP: Logged | Report this post to a Moderator
kam
Honored Contributor (10K+ posts)
Member # 3410

Icon 1 posted      Profile for kam     Send New Private Message       Edit/Delete Post   Reply With Quote 
I have a workmen's comp claim/case pending. I figure it will be a miracle if it is approved and then not sure how it will help.

I know the others who came down sick when I did and were dx with CFS/fibro aren't getting much help with workmen's comp.

They were approved.

They are seeing a counselor paid by workmens' comp, taking antidepressants and lyrica and the usual meds to cover up symptoms.

It took the one teacher years before she finally got in to see a fibro specialist.

Niether one are willing to step out of the insurance box and be tested for lyme disease or see a LLMD...yet.

My claim has been pending since 2001. The other two mentioned settling and wishing they had settled for more since they are in so much pain and unable to work.

Not sure exactly what that means as far as settling.

Central CA Workmens' comp with the state comp.

The only doctor that makes sense in the reports is my lyme doctor.

I asked my second attorney that I hired how workmen's comp would help and is it even worth going through all of this.

He said it depends on what the AME says. Or IME.

That doctor said I was an enigma and sent me to a ID who said it was not an infectious disease issue.

So, I guess it is back in the AME's or IME"s camp.

I also have sent info to attorney but like the old attorney it looks like it is going into a black hole.

I am considering sending the info as to why I believe this is work related directly to the workmen's comp panel...hopefully soon...before any decisions are made.

Sent request to attorney telling him if I did not hear back from him I was going to send info to panel myself.

It has been 3 weeks or more...have not heard from him and he has been contacted several times.

Posts: 15927 | From Became too sick to work or do household chores in 2001. | Registered: Dec 2002  |  IP: Logged | Report this post to a Moderator
luvs2ride
Frequent Contributor (1K+ posts)
Member # 8090

Icon 1 posted      Profile for luvs2ride     Send New Private Message       Edit/Delete Post   Reply With Quote 
I was a work comp adjuster in Virginia for 9 yrs. Every state is different and most states have private insurance companies who handle the claims and a couple of states like W.Va. have state run work comp.

I'm not sure about California but what your attorney said about "the state covers everything" sounds right to me. It also sounds like your state might be a "state run" program.

Work Comp was established for the protection of employees. It works NOTHING like health insurance.

There are some conditions that are not covered and again, this is by state. Workers Comp is tightly governed by the state even when it is run by private insurance companies. The company can't deny anything unless the state has already established that "thing" as not being covered by WC.

When I was an adjuster, heart attack was always being contested. The law kept changing and it was a bugger for an adjuster to keep up with the current law. First, no heart attack was covered. Then it was covered for police and fire fighters only, then it was excluded again, etc.

In Virginia, during the years I was an adjuster, no disease was covered but a few exceptions like black lung for miners.

If Lyme is covered, then as your atty said, all treatment deemed necessary by your primary physician should be covered. At least it would be in Va.

Va also had a lifelong medical payout. Lost wages maxed out at 10 yrs but medicine was for life.

I don't know the rules now. I haven't adjusted since 1992.

I do know it works nothing like health insurance.

--------------------
When the Power of Love overcomes the Love of Power, there will be Peace.

Posts: 3038 | From america | Registered: Oct 2005  |  IP: Logged | Report this post to a Moderator
riverpatrol
Member
Member # 12182

Icon 1 posted      Profile for riverpatrol     Send New Private Message       Edit/Delete Post   Reply With Quote 
luvs2ride - thank you very much! That is great information! My worker's comp isn't CA State, it is Federal. Don't know what difference that might make.

Guess I'm going to have to try and enlighten my LLMD!


[Big Grin]

Posts: 69 | From So Cal | Registered: Jun 2007  |  IP: Logged | Report this post to a Moderator
lpkayak
Honored Contributor (10K+ posts)
Member # 5230

Icon 1 posted      Profile for lpkayak     Send New Private Message       Edit/Delete Post   Reply With Quote 
2001!!!! i feel better. i have had 5 claims pending since 2005 and think that is bad. i'm thinking of hiring a lawyer in nh to make my ny lawyer get moving...

--------------------
Lyme? Its complicated. Educate yourself.

Posts: 13712 | From new england | Registered: Feb 2004  |  IP: Logged | Report this post to a Moderator
   

Quick Reply
Message:

HTML is not enabled.
UBB Code is enabled.

Instant Graemlins
   


Post New Topic  New Poll  Post A Reply Close Topic   Feature Topic   Move Topic   Delete Topic next oldest topic   next newest topic
 - Printer-friendly view of this topic
Hop To:


Contact Us | LymeNet home page | Privacy Statement

Powered by UBB.classic™ 6.7.3


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 send your donations to:

The Lyme Disease Network of New Jersey
907 Pebble Creek Court, Pennington, NJ 08534 USA


| Flash Discussion | Support Groups | On-Line Library
Legal Resources | Medical Abstracts | Newsletter | Books
Pictures | Site Search | Links | Help/Questions
About LymeNet | Contact Us

© 1993-2020 The Lyme Disease Network of New Jersey, Inc.
All Rights Reserved.
Use of the LymeNet Site is subject to Terms and Conditions.