LLMD in these state are allowed by Law to practice long term treatment for Lyme, and madatory Ins. coverage: Conn. , Minesota, New Jersey, NY, and RI. Penn and Delaware are trying to get the bill pass.
Posted by bettyg (Member # 6147) on :
i know conn. is and i believe i've read something on the rest of them.
go to ACTIVISM and go down thru the pages there as they would have posted about THEIR STATE'S LYME BILLS IN LEGISLATURE!
why are you asking? inquiring minds want to know Posted by lymeloco (Member # 7192) on :
That is for R.I. that is.
Posted by adamm (Member # 11910) on :
Well, MN does have a few more LLMD's than most states (4 or 5 total.)
Posted by lnc2000 (Member # 18440) on :
Hi All,
I was concern with these because, i'm in state of
VA and can't find any LLMD that would take insurance for Lyme treatment, and wonder if i can
go to those other state to get treatment that
LLMD in those state are allow to treat Lyme long
term and accept insurance. Does anybody know of
a LLMD that take insurance in those states,
Thanks. Another question if you don't mind,
does oral yeast cause thrush, nausea, and dizzy?
Posted by Need Lots of Help (Member # 18603) on :
LNC2000
You will find a better answer in the find a doctor section.
Also, look at BettyG's Newbie Package. It has more information than you will be able to review in a month!!
Most importantly, find a LLMD FIRST!!
Shalome
Posted by Need Lots of Help (Member # 18603) on :
Also, from what I know, oral yeast is thrush....
I don't know that yeast causes the dizzy/nausea, but the bacteria does. Lots of Lymies have those symptoms.
Shalome
Posted by pab (Member # 904) on :
For Minnesota:
2008 Minnesota Statutes
62A.265 COVERAGE FOR LYME DISEASE. Subdivision 1.Required coverage.
Every health plan, including a plan providing the coverage specified in section 62A.011, subdivision 3, clause (10), must cover treatment for diagnosed Lyme disease. Subd. 2.Special restrictions prohibited.
No health plan included in subdivision 1 may impose a special deductible, co-payment, waiting period, or other special restriction on treatment for Lyme disease that the health plan does not apply to nonpreventive treatment in general. History:
1996 c 465 art 5 s 2
My family goes out-of-state for Lyme treatment. Posted by Tick Tock (Member # 15948) on :
I am in Rhode Island and my insurance covers treatment, however the insurance company plays some games.
Rather than giving me a 30 day supply of a prescribed antibiotic they give me a 10 day supply. This drug also has a $30 copay. So rather than paying one $30 copay per month I pay $90 per month.
I am off that drug so i t's no longer a problem.
My mother, who is on Medicare could only get a 3 day supply of amoxy for her Lyme. I was going to threaten that we do IV Abx instead and see if they'll be happier paying for that.
The law is nice. Despite those laws there are very few who will attempt to treat it beyond 4 weeks of Doxy.
Posted by lnc2000 (Member # 18440) on :
Hi All,
When you go out of state for treatment, did your ins. cover? if it odes, is it out of network or in network? I ask because I plan to go to one of those state to find doctor and get treatment, all of llmd in my area does not take insurance, and i just can't afford them, (375/hour). thanks.
Posted by Tracy9 (Member # 7521) on :
The bill for this in CT was just introduced. It has not passed yet.
I thought LLDs were protected in RI and CA.
Posted by Tracy9 (Member # 7521) on :
IN CT LLDs get $750-$900 an hour, so that sounds cheap to me!
I have Medicare which covers in other states. Depends on what kind of insurance you have.
Posted by paulieinct (Member # 17514) on :
My LLMD in CT charges about $250 a visit. First visit is more cuz it's longer, and tests, etc.
He does not participate in insurance, but if your insurance has out-of-network coverage, you can get reimbursed. That's the way I'm doing it, and I get about 80% back.
Send me a private message if you want to know this doctor's name.
Posted by dogshowdisaster (Member # 19168) on :
Help..
Posted by liesandmorelies (Member # 15323) on :
I believe the doctors are protected in California to an extent. That does not however mean that the insurance agency has to approve you abx's or cover you for your treatments.
Most insurance will pay what they normally would for lets say another infection at least for a certain amount of time. Many times however the insurance company will try or will even deny you abx esp. after a certain amount of time elapses.
I will have to check, but I thought in the state of California, that the main thing is that the doctors are protected from harassment for treating Lyme and they have the right to treat it how they like.(does not mean insurance has to pay for treatment) This is why the few LLMD's that are in California generally but not always practice privately and just treat Lyme and coinfections and of the ones that practice privately they don't take insurance.
Posted by bettyg (Member # 6147) on :
fyi only,
from some info i have ... costs range from $100 to almost $1300 per hour!!!
worst is e. coast on high $$$ ...
editing; PLEASE DO NOT SWAMP ME WITH NOTES ASKING ME WHO $100 LLMD IS !!! thx
Posted by lnc2000 (Member # 18440) on :
Thanks all, I also have another question on how out of network ins. work, how do i know if the dr. is out of network or not, and do i have to pay out of pocket first then claim for reimburs..?
Thanks.
Posted by lnc2000 (Member # 18440) on :
Hi All
I'm in Virginia, there's a few LLMD (about 5)
around my area but none of them take ins.
I just wonder how out of network ins. work.
Is it that i pay first and get receipt from the
doctor and claim to get reimburse from Ins? the
Infectious Disease doctor just told me today,
that i don't need anymore treatment for Lyme and
she can't treat me anymore. The bad thing is i
was feeling all the symptoms while talking to
her but she wouldn't beleive me, she thinks it's
all in my head because i'm reading things from
Lymenet and the internet.
Now, I don't have a doctor and don't know if i
still have Lyme or not, but i'm still feeling all
the symptoms everyday (light,not really severe).
But it's more severe around the 8th to the 12th
of each month. Can anybody tell if I still have
Lyme or not.
Thank you so much for all your respond.
My recent test result (2/10/2009) from Quest is
Lyme Disease, (IGG,M) WB B. Burgdorferi AB (IGG) QL WB Negative
Positive 23 kD and 66 kD IGG
B. Burgdorferi AB (IGM) QL WB Positive
positive 23 kD and 41 kD IGM
Thanks All.
[ 02-19-2009, 08:23 PM: Message edited by: lnc2000 ]
Posted by bettyg (Member # 6147) on :
2000, 1st; your insurance co. normally has a web site; go on it; should be something there about IN NETWORK.
go there and look for the name of the dr. you are wanting to go to; or should be able to type in their name and see IF they are in network.
otherwise, CALL your insurance co.
DOCUMENT EVERYTHING!! date, time of call, WHO YOU SPOKE TO & WHAT THEY SAID!! i type their comments as i can't read my writing anymore!! they can also hear me typing this, and that makes them NERVOUS! many have asked me about this before!!
on your post right above mine, please go in and break it all up; we neuro folks can't read or comprehend, long, solid block text! we need short broken up paragraphs and double spacing between them.
you could also make your test results easier and those this only:
positives: 23 and 66
what's IGN??
positive 23 and 41
editing guidelines below!
Welcome; i'm so glad you found us!! You've come to the right place for education and support!
Dr. Burrascano's most recent "Diagnostic Hints and 2008 Treatment Guidelines for Lyme and Other Tick Borne Illnesses" @
please see BettyG's newbie package info on the link below; click on link at bottom of my package. Check it out as time permits for you! @ http://tinyurl.com/58eyou
sorry, link takes you to END vs. beginning, so just use UP ARROW and go to the TOP for detailed info! thanks! *************** please go to my newbie links, copy the entire thing, and then print this off....FINANCIAL BURDENS compiled by melanie reber print off pages 74 - 92; outstanding info there. i believe there are a few more general comments there without links!! print that off too as it's newer info from members thru their own personal, tragic experiences.
Betty's POSTING GUIDELINES . many of us have neuro lyme where we can NOT read long solid block text and be able to comprehend and read it as is.
please edit your post by CLICKING PAPER/PENCIL ICON to right of your name. that opens up BOTH subject line and body text.
now please break up your WORDY SENTENCES into one sentence paragraphs. Then hit ENTER KEY ``TWICE`` after each paragraph; we need that space for comprehension.
NOTE: you do NOT have to use "", just show the name of person you are responding to, and then type your comment.
IF you need to use "", PLEASE DELETE "BOLD" CODES so it's regular type text we read vs. the DARK, HARSH/PAINFUL BOLDING. delete the first 4 characters of 2ND LINE of a ""
[QB] just delete these 4 characters, and BOLDING is GONE! my eyes will really appreciate that; it's one very bad side effect of my having lyme for 38.5 years!! xox
then go to left hand corner and mark box to receive ALL REPLIES, and click EDIT SEND
we thank you for helping us; otherwise, we will SOB, SCROLL ON BY, since we can't read to help you. If I see posts like this, I SOB them; to hard on me. ------------------------------------------------------
People seeking doctors might be able to get help from their state online information and support group. Nearly 3,400 people belong to state groups. Some of the groups are small but more than 20 of them have 50 or more people and seven have over 100.
The groups are moderated and you have to apply. Most don't allow doctor names, but once on the group, you can ask for doctors in a certain area and ask people to email you privately. *******************************************
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otherwise, we will SOB, SCROLL ON BY, since we can't read to help you. If I see posts like this, I SOB them; to hard on me.