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» LymeNet Flash » Questions and Discussion » General Support » How to word letter to insurance co

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Author Topic: How to word letter to insurance co
MamaBear11
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Member # 25116

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I am seeing an out of state/out of network provider and have been paying out of pocket. My health insurance company told me I may be able to have this provider covered and paid for, but I will need my PCP to submit a letter saying that I need to see this specific provider. They will check to make sure there isn't a provider in network that could treat me and then they would cover it.

I know that there are other LLMDs in my state, but I wouldn't know who they are without getting their info here on lymenet. It's not like they advertise in the yellow pages under "Lyme". And I actually live on the border of both states, so the out of state provider is actually closer to me than any in state providers on the list I was given here. It is cheaper, too, I think.

I have an appointment with my PCP on Monday and I was thinking I should bring in a letter that she could just sign and submit. Does anyone have advice for me on what the letter should or shouldnt say? Has anyone been through this process before? Thanks!

--------------------
Untreated Lyme for 25+ years.
Two kids, too much pain & fatigue, no hope of ever being able to treat.

Posts: 310 | From Northeast | Registered: Mar 2010  |  IP: Logged | Report this post to a Moderator
Lymetoo
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up

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

Posts: 95726 | From Texas | Registered: Feb 2001  |  IP: Logged | Report this post to a Moderator
Tincup
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The office you are going to should be familiar with a referral letter and have one there they can use.

Good luck!

[Big Grin]

--------------------
www.TreatTheBite.com
www.DrJonesKids.org
www.MarylandLyme.org
www.LymeDoc.org

Posts: 20353 | From The Moon | Registered: Jun 2004  |  IP: Logged | Report this post to a Moderator
   

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