I posted last week regarding the fact my insurance is not going to cover for our family to see Dr. C a LLMD. We have had no change in our insurance plan. Last year my husband and I were covered 100% to see him. I appealed and we got approval to see him. Then in Nov they gave me approval for my two children to see him..
Then after the new year they are stating they will not cover for us to see this doctor. Of course I called after the new year and got approval and we went to see Dr. c all four of us and now they are saying they will not cover that visit or any others. So of course I am arguing this.
Now they are stating that antibiotics are expeirmental. When has treating a bacterial infection with antibiotics experimental?? So What I need is information to support the fact treatment with antibiotics is NOT experimental!
I figured some of you have gone through this very same thing so I need all the help I can get! IT shouldnt be this hard to get covered for LYME disease!! This disease needs to be more well know to others!
So my argument is that they have already started to cover for me and my husband 100% and how can they stop midstream after already covering. That would be like stopping treatments midstream if you have cancer.. Crazy they shouldnt be able to do that..
They have been covering 100% for me since May 2005, and for my husband July 2005. And there has been no change in our plan! I think they should continue to cover for us and our two children!!
So there reasons for not covering now is that antibiotics are experimental. That Dr. C treatment is experimental?!?!?!? I will not let this go without a fight.
If anyone has information that I could use to support coverage to see this doctor please send this way.
I am doing much better but my children and husband are having some problems. And they really need to see him. With all four of us seeing him.. The visits can be quite costly.
I just feel that they have covered they cant just drop us just like that!
We got approval from them and They should have to hold to there word!!
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