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» LymeNet Flash » Questions and Discussion » Medical Questions » My insurance denied Doc in Pa

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Author Topic: My insurance denied Doc in Pa
yourtroubl
LymeNet Contributor
Member # 11087

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My insurance denied coverage at doc in PA. I could fight it but I have ID appointment here in town tomorrow.

If that does not work out, then I dont know what I am going to do.

You just get so conditioned to going to doctors and having tests and nothing being done, its wht you expect.

Posts: 347 | From WV | Registered: Jan 2007  |  IP: Logged | Report this post to a Moderator
TerryK
Frequent Contributor (5K+ posts)
Member # 8552

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ID docs are not helpful with chronic lyme usually. I'm no expert but you might be able to get some code changes on the claims forms and get the claim accepted. Did they say why they won't accept it?
Terry

Posts: 6282 | From Oregon | Registered: Jan 2006  |  IP: Logged | Report this post to a Moderator
tic chick
LymeNet Contributor
Member # 9156

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Hi, I am going through the same problem with my insurance co and recently posted in the "General" section. I received the following link that may be helpful:

http://flash.lymenet.org/ubb/ultimatebb.php?ubb=get_topic;f=3;t=013935

If you've been dx with a TBD then you really need treatment from a LLMD as I'm sure you know.....they know how best to treat this.

Fight for treatment. Appeal all denials.

Blessings,
Tic

--------------------
Adversity is the diamond dust heaven polishes it's jewels with. Robert Leighton

Daily world-wide prayers welcome for the Lyme Community - every day at 6:00 p.m. Pacific Time and 9:00 p.m. Eastern Time all faiths welcome!

Posts: 309 | From S.E. Mass | Registered: Apr 2006  |  IP: Logged | Report this post to a Moderator
lymeinhell
Frequent Contributor (1K+ posts)
Member # 4622

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It's becoming more and more common that LLMD's don't accept insurance. And after trying wasting 9 months going to insurance approved specialist after specialist, I dug deep, coughed up the $ and went to an LLMD.... And got my life back after a year of treatment.

My advice - beg, borrow or steal and get to an LLMD. You are wasting precious time - and ID is the last person I would EVER want to see with this disease. The longer you go without treatment, the longer it will take to improve (and the smaller the chance you can put this in remission).

Your insurance may not cover the dr visit, but they will cover they labs and most prescriptions (although an IV may be tough to get covered).

--------------------
Julie
_ _ ___ _ _
lymeinhell

Blessed are those who expect nothing, for they shall not be disappointed.

Posts: 2257 | From a better place than I was 11 yrs ago | Registered: Sep 2003  |  IP: Logged | Report this post to a Moderator
   

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