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» LymeNet Flash » Questions and Discussion » General Support » Insurance in Massachusetts

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Author Topic: Insurance in Massachusetts
marypart
LymeNet Contributor
Member # 27012

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My daughter is turning 26 next year and will no longer be on my husband's insurance. She's a part-time student and a part-time worker so she doesn't get insurance at school or at work.

If she buys through the state exchange or ACA, what's the best insurance for Lyme?

Is Harvard Pilgrim any good?

Thanks for any advice....

--------------------
Son, 26, Dx Lyme 4/10, Babs 8/10
Had serious arthritis, all gone.
Currently on Valtrex
Daughter, 26,bullseye 7/11
arthritis in knees, cured and off all meds. .
Self:Lyme, bart, sxs gone, no longer treating.

Posts: 496 | From Washington, DC | Registered: Jul 2010  |  IP: Logged | Report this post to a Moderator
jennyfromtheblock
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Member # 43805

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best insurance in MA for lyme, other than mass health is Tufts.

I hear Harvard pilgrim is as tough with lyme as blue cross. but I don't know for a fact

Tufts I have seen will cover lyme treatments

--------------------
celiac dx 2012
pancreatic neuroendocrine tumor dx 2012
lyme dx 2/14
poss igm wb, neg igg wb - Igenex/CDC

Posts: 85 | From south shore | Registered: May 2014  |  IP: Logged | Report this post to a Moderator
Samlyme
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Member # 43732

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My sister has some insurance from Boston Medical Center and she can only be treated there.

She has been diagnosed with Hashimotos, Sjogrens and Arthritis.
She is being treated with steroids and thyroid medication.

She is not improving and I think she has Lyme. We both used to camp and hike together and we both fell ill within a year of each other.

I was just looking at a local LLMD that accepts insurance and their website states they:

do NOT bill to Tufts, Harvard Pilgrim, MassHealth, Fallon, Commonwealth Care, or Neighborhood Health plan.

So even if she had these plans they wouldn't take them…

Posts: 154 | From Boston | Registered: May 2014  |  IP: Logged | Report this post to a Moderator
Maia_Azure
LymeNet Contributor
Member # 44330

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I have blue cross through an employer based in MA, they are ok. They paid for my picc line insertion (as long as you don't list the reason as lyme!) but not the rocephin. You need a positive antibody and western blot for them to pay for treatment.

They have covered my other medications: Zithromax

Picking up mepron tomorrow..not sure how much it will cost!

--------------------
Sick since 2000
Bulls eye 2005
Dx Babesia, Lyme 2014

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Ellen101
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BCBS covered all my oral meds as well as bicillin shots. But there are many different BCBS plans.
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KarlaL
LymeNet Contributor
Member # 29631

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My daughter has been in treatment for five years including one year of IV and Harvard Pilgrim has paid for almost everything. We have one of the PPO plans. If you read their Lyme IV pre-authorization policy, it is written to exclude almost everyone from treatment, so I can't speak for others.

--------------------
KarlaL

Posts: 694 | From New Lebanon, NY | Registered: Dec 2010  |  IP: Logged | Report this post to a Moderator
   

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