LymeNet Flash: Question about LLMD and meds?

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»	LymeNet Flash » Questions and Discussion » Medical Questions » Question about LLMD and meds?

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Topic: Question about LLMD and meds?

MommytoAidan
Member
Member # 5944

posted

Hi,

If I go to an LLMD who does not take insurance, as many don't. Will my insurance cover the cost of abx that the LLMD will prescribe?

I want to go to an LLMD and can get in but afraid that the meds won't be covered. Please let me know!

Thanks,
M

Posts: 33 | From NJ | Registered: Jul 2004 | IP: Logged |

Kara Tyson
Frequent Contributor (5K+ posts)
Member # 939

posted

This was never a problem for me.

Posts: 6022 | From Mobile, AL | Registered: Apr 2001 | IP: Logged |

kaos
LymeNet Contributor
Member # 4144

posted

The worst thing you could do is ask the insurance company about it. Why put up a red flag if it might not be caught or may not be a problem at all? Just fill the prescription and see what happens.

Posts: 373 | From Southern California | Registered: Jun 2003 | IP: Logged |

mlkeen
Frequent Contributor (1K+ posts)
Member # 1260

posted

My HMO, KHPE, pays for all the meds and lab work. I just pay for the LLMD.

Posts: 1572 | From Pa | Registered: Jun 2001 | IP: Logged |

mbroderick
Frequent Contributor (1K+ posts)
Member # 5220

posted

Whether or not your LLMD takes insurance has nothing to do with whether your insurance company will cover your prescriptions. In fact, even if your LLMD doesn't take insurance, you can still submit the office visit bills and most likely get reimbursed for some portion of it (unless you must use doctors from a specific list/HMO). We have Blue Cross and, so far, have not had any problems with coverage, except for Bowen and any labs that are experimental (I had sent something to the U of Michigan that was refused coverage). However, it's also always worth the effort to call/write/complain if you don't feel that your reimbursement, or lack of, was right. Letters of medical necessity from your doctor can be very helpful in getting things covered that normally would not be.

Cave's suggestions are 'right on'.

Marian

[This message has been edited by mbroderick (edited 16 August 2004).]

Posts: 2097 | From PA | Registered: Jan 2004 | IP: Logged |

bel1268
LymeNet Contributor
Member # 4133

posted

My insurance covers all meds and 75% of our office visits. They did not cover much of the testing.
Stacey

Posts: 240 | From Southern Maryland | Registered: Jun 2003 | IP: Logged |

rosesisland2000
Frequent Contributor (5K+ posts)
Member # 2001

posted

quote:
Originally posted by mbroderick:
Whether or not your LLMD takes insurance has nothing to do with whether your insurance company will cover your prescriptions.

Ditto, no matter what doctor you see has nothing to do with your prescription coverage...nothing at all. If it is a prescription signed by a doctor and your prescription drug covers that drug, then they will pay.

Rosemary

Posts: 6191 | From Arkansas | Registered: Jan 2002 | IP: Logged |

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