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» LymeNet Flash » Questions and Discussion » Medical Questions » Insurance denied IV abx, stop for a while

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Author Topic: Insurance denied IV abx, stop for a while
MichaelTampa
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I have been IV antibiotics for 8 weeks, and looks like I'm stopping now for a while, as the insurance has denied covering it at this point. Doctor can call them and maybe get it approved again, but don't know how long that will take.

Anyone been through this, how much of a setback will this be if it's a break of 3 days, or a week, or a couple weeks? Just wondering what to expect.

Michael

Posts: 1927 | From se usa | Registered: Mar 2010  |  IP: Logged | Report this post to a Moderator
gatorade girl
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Don't give up. I even valled the insurance commissioner in md and my senator to get covered.

--------------------
gatorade girl

"I still have Mt.Everest to climb, but I have traveled across the world and arrived at the mountain".

Posts: 633 | From baltimore | Registered: Mar 2010  |  IP: Logged | Report this post to a Moderator
momofthree
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I was denied for my rocephin too. I got a hold of these folks and now it is somewhat affordable, under $25 a day. www.hometech-rx.com

Just heard Dr. B talk last night and he suggested this website to fight insurance companies. www.mentalhealthandillness.com

Posts: 303 | From green bay, wi | Registered: Mar 2009  |  IP: Logged | Report this post to a Moderator
sammy
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My doctor and I have been trying to get my insurance to cover IV's for the past 14mo. Despite all of the medical evidence, letters from my congressman, and letters from my lawyer they continue to deny all claims for reimbursement.

Micheal, it might not be a good idea to put your treatment on hold. Continue with the IV's by paying out of pocket (through a company like Infuserve) or switch IM Bicillin LA and orals.

You must do something to keep the infections covered while you wait for the appeal to be reviewed by your insurance company. You may be waiting for a very long time and you don't want to lose the gains you've made so far.

Good luck [Smile]

Posts: 5237 | From here | Registered: Nov 2007  |  IP: Logged | Report this post to a Moderator
   

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