LymeNet Flash: Denied Care from Health Care

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»	LymeNet Flash » Questions and Discussion » Medical Questions » Denied Care from Health Care

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Author

Topic: Denied Care from Health Care

devan726
Member
Member # 8933

posted

After 1 month of IV therapy, I was told today by my health care provider that they are denying any further IV therapy because it is considered experimental.

Has anyone got any ideas on how to fight this. I went as far as to fax them a picture of myself showing the effects of bells palsy due to lyme.

I was feeling better until I got this news today. I broke down and now I am sick.

I emailed a grievance to them and I will be filing an Independent Medical Review Application to the the Dept. of Managed Health Care in California.

The funny thing is they approved all of my supplies and the nurses visits. What do I do with that if I don't have the medication.

Any suggestions would be greatly appreciated.

Posts: 20 | From California | Registered: Mar 2006 | IP: Logged |

tabbytamer
Frequent Contributor (1K+ posts)
Member # 3159

posted

Would you qualify for any of the free med programs?

http://www.freemedicineprogram.com/

http://flash.lymenet.org/ubb/Forum1/HTML/004031.html

--------------------
Tabby

California Lyme support group

Posts: 2098 | From San Diego, CA, USA | Registered: Sep 2002 | IP: Logged |

Nukegirl
LymeNet Contributor
Member # 6809

posted

Devan,

Just to let you know I am also engaged in a battle with BCBS. My husband and his employer went to a court hearing. About 20 days later we received a decision that they overturned my denial and that the only thing they are paying for are a couple visits to my new LLMD and not even the I.V. They think they can issue 2 checks that are only about 40% of the actual charges. I don't think so!!

That was the 2nd complaint and I will be filing an external grievance and contacting the insurance commission for what its worth. [bonk]

Posts: 204 | Registered: Jan 2005 | IP: Logged |

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