LymeNet Flash: Really really need this question answered please

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»	LymeNet Flash » Questions and Discussion » Medical Questions » Really really need this question answered please

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Topic: Really really need this question answered please

Tincup
Honored Contributor (10K+ posts)
Member # 5829

posted

I am a bit low on answers for the insurance question.. and this is our biggest fight.

If you have not responded a yes or no here.. could you?

Thanks!!!

Click here...

http://flash.lymenet.org/ubb/Forum1/HTML/032005.html

Posts: 20353 | From The Moon | Registered: Jun 2004 | IP: Logged |

hopelives
Junior Member
Member # 6833

posted

Sorry I haven't responded sooner to your request for info. Pretty bad ups and downs lately.

Insurance paid for 4 weeks IV treatment. No extension as requested by LLMD. Will not pay for IM antibiotics. I pay put of pocket for that and recently have started to deny other oral antibiotics. I have not started to fight the insurance co yet. Too tired but I will fight soon.

Have lost very substantial income for the last 10 months

Misdiagnosed by neuro(MS) pcp and others. finally llmd gave me Elisa, IGg IGM and all were positive along with clinical diagnosis.

Would be happy to provide tincup more detailed info if helpful.

Thanks for being here

Posts: 5 | From ocean , nj | Registered: Jan 2005 | IP: Logged |

Troup Brazelton
LymeNet Contributor
Member # 6297

posted

BC/BS of Ala. paid the entire amount of my wifes illness, which included 7 months of IV and 7 months of our LLMD's charges. They also paid 1 years worth of useless neuro charges which ran much higher than the LLMD's charges.

Posts: 219 | From Aubur,Al. USA | Registered: Oct 2004 | IP: Logged |

JillF
Frequent Contributor (1K+ posts)
Member # 5553

posted

Posts: 1485 | From USA | Registered: Apr 2004 | IP: Logged |

deb obrien
LymeNet Contributor
Member # 5239

posted

tincup - i think it's great that you are doing all this work!! i have medicare which pays for tests and md vists - i pay for drugs,
deb

Posts: 122 | From richmond, ca, usa | Registered: Feb 2004 | IP: Logged |

mil
Member
Member # 5774

posted

Insurance is very good about dr appointments, but argues significantly about expensive medications (Diflucan for exammple). Also, they will do things like top out "durable medical equipment" at 1500.00 instead of denying the Rocephin.

I have had to an continue to pay for certain lab tests

Posts: 19 | From corpus christi texas | Registered: Jun 2004 | IP: Logged |

solsearcher
LymeNet Contributor
Member # 4482

posted

I've been on oral abx since December, 2003. I also did 12 weeks of IV Rocephin. My insurance is BC/BS, and they have paid everything except my $20 office visits and the 10% I pay for out-of-network expenses. A bottle of Mepron costs me $40. Generic meds are $10. Name brand cost $25. My biggest expense was the home nurse who put my IV needle in for me on Monday mornings. That company billed BC/BS $1300/week for their service. I believe that may have included the Rocephin. I paid about $150 of that.

So far, I have no complaints with my insurance coverage. I have the PPO plan, not the HMO.

Scott

Posts: 112 | From St. Petersburg, FL USA | Registered: Aug 2003 | IP: Logged |

Lymetoo
Moderator
Member # 743

posted

I THINK Tincup wants you to respond on the link she provided. And a simple YES or NO is what she needs most......Then follow with explanation if you desire.

Shut me up if this is wrong, TC!

[This message has been edited by Lymetoo (edited 08 March 2005).]

Posts: 96223 | From Texas | Registered: Feb 2001 | IP: Logged |

Tincup
Honored Contributor (10K+ posts)
Member # 5829

posted

STOP HERE..

THANKS!

Will share results when I am able... got to go figure.

Posts: 20353 | From The Moon | Registered: Jun 2004 | IP: Logged |

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