This is topic Denied Care from Health Care in forum Medical Questions at LymeNet Flash.


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Posted by devan726 (Member # 8933) on :
 
After 1 month of IV therapy, I was told today by my health care provider that they are denying any further IV therapy because it is considered experimental.

Has anyone got any ideas on how to fight this. I went as far as to fax them a picture of myself showing the effects of bells palsy due to lyme.

I was feeling better until I got this news today. I broke down and now I am sick.

I emailed a grievance to them and I will be filing an Independent Medical Review Application to the the Dept. of Managed Health Care in California.

The funny thing is they approved all of my supplies and the nurses visits. What do I do with that if I don't have the medication.

Any suggestions would be greatly appreciated.
 
Posted by tabbytamer (Member # 3159) on :
 
Would you qualify for any of the free med programs?

http://www.freemedicineprogram.com/

http://flash.lymenet.org/ubb/Forum1/HTML/004031.html
 
Posted by Nukegirl (Member # 6809) on :
 
Devan,

Just to let you know I am also engaged in a battle with BCBS. My husband and his employer went to a court hearing. About 20 days later we received a decision that they overturned my denial and that the only thing they are paying for are a couple visits to my new LLMD and not even the I.V. They think they can issue 2 checks that are only about 40% of the actual charges. I don't think so!!

That was the 2nd complaint and I will be filing an external grievance and contacting the insurance commission for what its worth. [bonk]
 


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