tdtid
Frequent Contributor (1K+ posts)
Member # 10276
posted
My husband works for IBM and we have Blue Cross Blue Shield.
I had been treated for Lyme and co-infections orally for 20 months and they were covering all meds. As soon as I was referred to an LLMD that felt I needed IV, the brakes went on over the summer.
We paid out of pocket monthly for the IV since waiting for IBM BC/BS was not really an option.
The documents Tincup is discussing have been sent to IBM BCBS, but they still REFUSED to budge and said that 28 days and you are cured and didn't care what we sent as an appeal.
It was frustrating because we also sent all that documentation to politicians and although many would either send us canned letters or else when we talked to them on the phone, they informed us that they could do nothing because
IBM is PRIVATELY insured so they do not need to stick by any state rules or guidelines and can choose to cover what they will.
So......the way we were FINALLY able to get around it is that once my LLMD started treating me for Bartonella or Babsiosis, IBM started covering again.
We still have not gotten anything back for all the IV months on Lyme treatment and they still stand by their ground, BUT if you can get your LLMD to code it as a co-infection, it may get some help.
Good luck and if you need any other information, feel free to PM me. I haven't found anyone getting covered for IV for "LYME" so far. Would love some of that money back too, but think it's gone forever.
Cathy
-------------------- "To Dream The Impossible Dream" Man of La Mancha Posts: 2638 | From New Hampshire | Registered: Oct 2006
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jt345
Unregistered
posted
Hi Linda
I have PM ed You. I have Bluecross and Bluesheild. I have not used it for IV's as of late but about 4 years ago they did not even blink. Just pd. But I was being treated for babs also.
please send me a PM with your home email and i'll send the 2 things to you tomorrow providing my pc is working . ran into some glitches today... thanks.
tc, came across this and will handle for you...
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