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» LymeNet Flash » Questions and Discussion » Medical Questions » Maximum for IV is 3 months? - think Dr. is scared of insurance denial - NEED ADVICE

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Author Topic: Maximum for IV is 3 months? - think Dr. is scared of insurance denial - NEED ADVICE
keh
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Member # 9089

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Hi. My insurance denied my IV treatment. Dr. S talked to the medical director at insurance co. and found him to be someone who might report him
to medical bd... so he did not want to make big deal about it.

I asked him if it was ok with him if I appealed (by letter) and he said yes... but basically
that more than that and he would stop treating me because of bd. pressure.

I understand his situation but need the treatment. I will find a way to pay out of pocket if needed.

my concern is that he is going to cut my treatment short because he does not want the
hassle.

I am on my second week of treatment. He says he never does IV for more than 3 months. He did approve my second month of treatment.

I have had lyme for possibly 6-15 years and feel that more IV may be needed than 3 months. I am more concerned with not getting enough IV treatment than with insurance denial.

I have also been to see Dr. F and am working on getting a letter from him for insurance appeal.

I want to figure this out now so that I do not end up without a doctor a month from now.

Thanks in advance for any advice.

[ 28. August 2006, 05:05 PM: Message edited by: keh ]

Posts: 35 | From baltimore, md & nj | Registered: Apr 2006  |  IP: Logged | Report this post to a Moderator
timaca
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Member # 6911

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The following may help in your appeal to your insurance company:

http://flash.lymenet.org/ubb/ultimatebb.php?ubb=get_topic;f=3;t=014009#000000

Posts: 2872 | From above 7,000 ft in a pine forest | Registered: Feb 2005  |  IP: Logged | Report this post to a Moderator
   

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