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» LymeNet Flash » Questions and Discussion » Medical Questions » MR. MIP in California--Blue Cross Coverage..anyone have experience?

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Author Topic: MR. MIP in California--Blue Cross Coverage..anyone have experience?
knshore
LymeNet Contributor
Member # 13451

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To make a LONG story short, I have a TERRIBLE insurance company. We found out since I am considered "high risk" and nobody will accept me for coverage, that I am eligible for a program called MR MIP. Through them you can get coverage with Blue Cross.

I know they are generally a terrible insurance company, but the one we have now is as bad as it gets. I had severely low iron and needed IV iron, because my Dr was going to hospitalize me if I didn't get it...they wouldn't cover it. They don't cover labs, don't cover most meds.

Does anyone know about this program? Or Blue Cross? For example...blood work. When I have just a check up at the Dr's office, the lab work costs almost $500 because our insurance won't pay. Wouldn't we get better coverage?

Thanks! [Smile]

Posts: 215 | From Student | Registered: Oct 2007  |  IP: Logged | Report this post to a Moderator
bettyg
Unregistered


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ask your question here ok!

People seeking doctors in certain states might be able to
get help from their state online information and support group. Over 1500
people belong to these state groups. Many of the groups are small
but quite a few have 20 or more people on them.

To find your state group, go to
http://health.groups.yahoo.com/group/statenamelyme

Type your state name and lyme as one word, e.g. newyorklyme

For SC, SD, ND and WY, put a hyphen between the statename
and lyme, e.g. northdakota-lyme

The groups are moderated so you have to apply, and we don't
allow doctor names, but once on the group, you can ask for doctors in a certain area and ask people to email you privately.

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Robin123
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Member # 9197

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Does anyone know anything about Blue Cross covering IV treatment? Someone recently said that they were certified for IV treatment on a monthly basis, and then they received a letter recently denying further treatment, plus Blue Cross wanting back money for two prior months of IV treatment they had already agreed to cover and the person went ahead and had.
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CaliforniaLyme
Frequent Contributor (5K+ posts)
Member # 7136

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Blue Cross & Blue Shield in CA are terrible with Lyme patients BUT we had one Lymed woman in our local group who fought back and appealed and WON against Blue Cross and got her Rocephin!!! I lost to Blue Shield in my appeal myself.

I would go with pacific care or healthNet or any other place if you can avoid the Blues!!!

--------------------
There is no wealth but life.
-John Ruskin

All truth goes through 3 stages: first it is ridiculed: then it is violently opposed: finally it is accepted as self evident. - Schopenhauer

Posts: 5639 | From Aptos CA USA | Registered: Apr 2005  |  IP: Logged | Report this post to a Moderator
knshore
LymeNet Contributor
Member # 13451

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We wouldn't go with either of the Blues, but unfortunately since I'm considered "high risk" I can't get any other insurance. This is through a program in CA for people who are un-insurable.

And, my mom doesn't work for a compnay...she's her own boss, so we're not able to get insurance that way.

I'm not too worried about things like IV because we have other programs that are helping with things like that, but it's more for the things like meds, labs, Dr's visits, etc.

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