Does anyone on hear Have Neighborhood Health Plan in RI and are you on IV ABX?
My NP plans to put me on IV Rocephin in the next couple of months and I am already stressing out about the $$$.
Looking for others experiences if any.
Posted by mom2kids (Member # 31972) on :
I think in RI your insurance is not allowed to deny any Lyme treatment. I'll double check that, because my memory is so awesome, but I think that's the law.
Posted by lucky8711 (Member # 26221) on :
Oh yes that would be great! Thanks...I wouldn't even know how to begin going about finding that info.
Posted by mom2kids (Member # 31972) on :
I probably won't get to this until tomorrow, unless I have trouble sleeping tonight. If I forget, please just PM me to remind me. I tell people I have the memory of an 80 year old coma patient...
Posted by mom2kids (Member # 31972) on :
Here are some sections of Rhode Island State Law regarding Lyme Disease treatment and insurance coverage:
I'll get more details, but this is a start.
Posted by Nancy2 (Member # 95) on :
Mom2kids is absolutely right. RI Lyme Law states that your insurance MUST cover any treatment prescribed by a Lyme Literate practioner. It is a mandate that was put through the RI General Assembly to protect patients who at the time were denied IV by most insurance companies due to cost.
Nancy
Posted by lucky8711 (Member # 26221) on :
Thank you both so much for the info!
I am scared of course to breathe a sigh of relief until the time comes however.
I wonder if the Insurance Co did per chance try and deny it if I state my awarenes of this mandate that would change things....
Here I go projecting already. LOL
Thanks again!
Posted by mom2kids (Member # 31972) on :
Lucky, save that energy to get well instead of worrying about the unknown. Especially in a state that has legislation to protect you as a patient. If you need any more help you can just PM me....
Posted by gmb (Member # 23562) on :
Lucky,
One thing you should check with you insurance co is if the dr who prescibes the IV may need to be in network. Your LLMD is most likely out of network so maybe you'll need to have her coordinate the IV treatment thru your PCP.
Just a thought...This was not the case for me, BCBS covered all of my LLMD's IV stuff even though she was out of network. I'm just not familiar with Neighborhood Healthplan.
Maybe your LLMD can make the phone call or has other patients covered under your plan.