waste her time trying...even as much as I kept asking her to try....
I have talked with my insurance co many
times...just sent them bills from IGeneX and Dr.
H, in hopes of getting re-embursed...
But there was no Authorization from my PCP...and
the lady was PIST at ME!!!!!! This caused an
emotional overwhleming helpless feeling in me...
I need help... !!!!!!I know almost everyone has
struggled with their insurance co & PCP's ..can
you give me advice?
I'm going to see my PCP tomorrow to try and
convince her that this could work and be worth a try...
I'm going to type the letter for her, and offer
it, so it's less work for her...
But what key points do I need to make...any advice...???
The Insurance Co. said I have to use ALL
avaliable resources IN STATE..she was thinking
of an infecticous Disease Specialst...I've been
that route...LYME IS HARDLY SEEN IN
HAWAII...THEY REALLY DONT KNOW A THING except
the page description in a classic med school
book...that's why it
took me 2 years for ME to find this .....even
on the mainland, it's the same deal with these
docs....
here's my thougths on points I should make:
-there's no docotor in Hawaii that Specializes in Lyme and co-infections
-there are infectious disease specialist that have heard of Lyme, but don't have the expierence like a Lyme Literate Doctor does
-My PCP highly recommends that I see Dr. H in *** to further treat this Disease and its co-infections
what else ???please help!!!!I know it's all about the wording...
mahalos~...fawne
I 'm aware I'm VERY lucky that my meds are covered....so so so so THANKFUL!!but I can't work and my parents can hardly afford to keep paying for ALL my Lyme needs....
what else can I do?
-------------------- Energy flows where attention goes~ Posts: 302 | From Kauai | Registered: May 2007
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Aniek
Frequent Contributor (1K+ posts)
Member # 5374
posted
I suggest using the term "medically necessary" because that has a lot of pull with insurance companies.
Something along the lines of "I, Dr. PCP, have determined it is medically necessary that patient receive medical care from a physician specializing in Lyme Disease. The physician needs to have extensive experience treating patients with complex cases of Lyme Disease. As there are no such physicians located within the state of Hawaii, it is necessary that patient see a doctor out of state. I have recommended the care of Dr. H in state to provide this treatment."
-------------------- "When there is pain, there are no words." - Toni Morrison Posts: 4711 | From Washington, DC | Registered: Mar 2004
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