posted
LLMD in these state are allowed by Law to practice long term treatment for Lyme, and madatory Ins. coverage: Conn. , Minesota, New Jersey, NY, and RI. Penn and Delaware are trying to get the bill pass.
Posts: 36 | From Springfield VA | Registered: Dec 2008
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bettyg
Unregistered
posted
i know conn. is and i believe i've read something on the rest of them.
go to ACTIVISM and go down thru the pages there as they would have posted about THEIR STATE'S LYME BILLS IN LEGISLATURE!
why are you asking? inquiring minds want to know
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62A.265 COVERAGE FOR LYME DISEASE. Subdivision 1.Required coverage.
Every health plan, including a plan providing the coverage specified in section 62A.011, subdivision 3, clause (10), must cover treatment for diagnosed Lyme disease. Subd. 2.Special restrictions prohibited.
No health plan included in subdivision 1 may impose a special deductible, co-payment, waiting period, or other special restriction on treatment for Lyme disease that the health plan does not apply to nonpreventive treatment in general. History:
1996 c 465 art 5 s 2
My family goes out-of-state for Lyme treatment.
-------------------- Peggy
~ ~ Hope is a powerful medicine. ~ ~ Posts: 2775 | From MN | Registered: Apr 2001
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posted
I am in Rhode Island and my insurance covers treatment, however the insurance company plays some games.
Rather than giving me a 30 day supply of a prescribed antibiotic they give me a 10 day supply. This drug also has a $30 copay. So rather than paying one $30 copay per month I pay $90 per month.
I am off that drug so i t's no longer a problem.
My mother, who is on Medicare could only get a 3 day supply of amoxy for her Lyme. I was going to threaten that we do IV Abx instead and see if they'll be happier paying for that.
The law is nice. Despite those laws there are very few who will attempt to treat it beyond 4 weeks of Doxy.
Posts: 79 | From Rhode Island | Registered: Jun 2008
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When you go out of state for treatment, did your ins. cover? if it odes, is it out of network or in network? I ask because I plan to go to one of those state to find doctor and get treatment, all of llmd in my area does not take insurance, and i just can't afford them, (375/hour). thanks.
Posts: 36 | From Springfield VA | Registered: Dec 2008
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Tracy9
Frequent Contributor (1K+ posts)
Member # 7521
posted
The bill for this in CT was just introduced. It has not passed yet.
13 years Lyme & Co.; Small Fiber Neuropathy; Myasthenia Gravis, Adrenal Insufficiency. On chemo for 2 1/2 years as experimental treatment for MG. Posts: 4480 | From Northeastern Connecticut | Registered: Jun 2005
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Tracy9
Frequent Contributor (1K+ posts)
Member # 7521
posted
IN CT LLDs get $750-$900 an hour, so that sounds cheap to me!
I have Medicare which covers in other states. Depends on what kind of insurance you have.
13 years Lyme & Co.; Small Fiber Neuropathy; Myasthenia Gravis, Adrenal Insufficiency. On chemo for 2 1/2 years as experimental treatment for MG. Posts: 4480 | From Northeastern Connecticut | Registered: Jun 2005
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posted
My LLMD in CT charges about $250 a visit. First visit is more cuz it's longer, and tests, etc.
He does not participate in insurance, but if your insurance has out-of-network coverage, you can get reimbursed. That's the way I'm doing it, and I get about 80% back.
Send me a private message if you want to know this doctor's name.
-------------------- Sick since at least age 6, now 67. Decades of misdiagnosis. Numerous arthritic, neuro, psych, vision, cardiac symptoms. Been treating for 7 years, incl 8 mos on IV. Bart was missed so now treating that. Posts: 765 | From nw ct | Registered: Sep 2008
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posted
I believe the doctors are protected in California to an extent. That does not however mean that the insurance agency has to approve you abx's or cover you for your treatments.
Most insurance will pay what they normally would for lets say another infection at least for a certain amount of time. Many times however the insurance company will try or will even deny you abx esp. after a certain amount of time elapses.
I will have to check, but I thought in the state of California, that the main thing is that the doctors are protected from harassment for treating Lyme and they have the right to treat it how they like.(does not mean insurance has to pay for treatment) This is why the few LLMD's that are in California generally but not always practice privately and just treat Lyme and coinfections and of the ones that practice privately they don't take insurance.
-------------------- aka: Lyme Warrior
In order to do "real" science, you have to have a "real" conversation with nature.
Well Behaved Women Rarely Make History!
"Just Demand your Rights" Posts: 869 | From nor - cal | Registered: Apr 2008
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bettyg
Unregistered
posted
fyi only,
from some info i have ... costs range from $100 to almost $1300 per hour!!!
worst is e. coast on high $$$ ...
editing; PLEASE DO NOT SWAMP ME WITH NOTES ASKING ME WHO $100 LLMD IS !!! thx
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posted
Thanks all, I also have another question on how out of network ins. work, how do i know if the dr. is out of network or not, and do i have to pay out of pocket first then claim for reimburs..?
Thanks.
Posts: 36 | From Springfield VA | Registered: Dec 2008
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Lyme Disease, (IGG,M) WB B. Burgdorferi AB (IGG) QL WB Negative
Positive 23 kD and 66 kD IGG
B. Burgdorferi AB (IGM) QL WB Positive
positive 23 kD and 41 kD IGM
Thanks All.
[ 02-19-2009, 08:23 PM: Message edited by: lnc2000 ]
Posts: 36 | From Springfield VA | Registered: Dec 2008
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bettyg
Unregistered
posted
2000, 1st; your insurance co. normally has a web site; go on it; should be something there about IN NETWORK.
go there and look for the name of the dr. you are wanting to go to; or should be able to type in their name and see IF they are in network.
otherwise, CALL your insurance co.
DOCUMENT EVERYTHING!! date, time of call, WHO YOU SPOKE TO & WHAT THEY SAID!! i type their comments as i can't read my writing anymore!! they can also hear me typing this, and that makes them NERVOUS! many have asked me about this before!!
on your post right above mine, please go in and break it all up; we neuro folks can't read or comprehend, long, solid block text! we need short broken up paragraphs and double spacing between them.
you could also make your test results easier and those this only:
positives: 23 and 66
what's IGN??
positive 23 and 41
editing guidelines below!
Welcome; i'm so glad you found us!! You've come to the right place for education and support!
Dr. Burrascano's most recent "Diagnostic Hints and 2008 Treatment Guidelines for Lyme and Other Tick Borne Illnesses" @
please see BettyG's newbie package info on the link below; click on link at bottom of my package. Check it out as time permits for you! @ http://tinyurl.com/58eyou
sorry, link takes you to END vs. beginning, so just use UP ARROW and go to the TOP for detailed info! thanks! *************** please go to my newbie links, copy the entire thing, and then print this off....FINANCIAL BURDENS compiled by melanie reber print off pages 74 - 92; outstanding info there. i believe there are a few more general comments there without links!! print that off too as it's newer info from members thru their own personal, tragic experiences.
Betty's POSTING GUIDELINES . many of us have neuro lyme where we can NOT read long solid block text and be able to comprehend and read it as is.
please edit your post by CLICKING PAPER/PENCIL ICON to right of your name. that opens up BOTH subject line and body text.
now please break up your WORDY SENTENCES into one sentence paragraphs. Then hit ENTER KEY ``TWICE`` after each paragraph; we need that space for comprehension.
NOTE: you do NOT have to use "", just show the name of person you are responding to, and then type your comment.
IF you need to use "", PLEASE DELETE "BOLD" CODES so it's regular type text we read vs. the DARK, HARSH/PAINFUL BOLDING. delete the first 4 characters of 2ND LINE of a ""
[QB] just delete these 4 characters, and BOLDING is GONE! my eyes will really appreciate that; it's one very bad side effect of my having lyme for 38.5 years!! xox
then go to left hand corner and mark box to receive ALL REPLIES, and click EDIT SEND
we thank you for helping us; otherwise, we will SOB, SCROLL ON BY, since we can't read to help you. If I see posts like this, I SOB them; to hard on me. ------------------------------------------------------
People seeking doctors might be able to get help from their state online information and support group. Nearly 3,400 people belong to state groups. Some of the groups are small but more than 20 of them have 50 or more people and seven have over 100.
The groups are moderated and you have to apply. Most 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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otherwise, we will SOB, SCROLL ON BY, since we can't read to help you. If I see posts like this, I SOB them; to hard on me. 
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