posted
I am seeking out to see an LLMD, and have been calling around for pricing and wait times. These prices are incredible, especially for someone who has great insurance that they won't take. Do most of you get re-imbursed for these costs through your insurance? Is it really worth it to see LLMD's and get treatment, while paying so much? I am just skeptical, because I know how controversial Lyme is and don't want to be the fool getting ripped off! Why are LLMD's so overpriced? And the treatments? Do most of you get this covered by insurance? Thanks for any insight! This is so much to deal with! Thanks,
Posts: 148 | From AZ | Registered: Sep 2011
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-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96222 | From Texas | Registered: Feb 2001
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James1979
Unregistered
posted
You're not getting "ripped off" by the LLMDs, but rather you're getting "ripped off" by your insurance company.
Ask them what they think about Lyme disease, and you'll see that they basically say that unless it's cured in 2-4 weeks of low-dose antibiotics, it's not Lyme disease.
posted
Check if you have a benefit for out-of-network docs. I get reimbursed a portion of my office visits and my prescriptions are (mostly) covered, but not any supplements I take. Good luck.
-------------------- ------------ It took 20 years to find out I'm not crazy. New bite in 2010 pushed my body over the edge. Positive for lyme, babs, bart, and myco. I am not a doctor and happily offer only my own opinions. Posts: 357 | From The Beach | Registered: Feb 2011
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posted
I did a lot of reading from what you suggested. There are some very good points. I did watch Under our Skin, and this was a big eye opener for me. Now that I read the attached links from Lymetoo, it does make sense that the "good" dr's don't accept insurance. I understand the process now and will try to not be so skeptical. It is hard not to be though, when I have been ripped off by so many dr's and brushed off saying I was crazy and needed help. So as I am taking this journey, I have hopes to come across a good Dr that is honest, and will help give me my life back. Best luck to everyone! Posts: 148 | From AZ | Registered: Sep 2011
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posted
I am SO grateful that I see a doctor who is NOT classified as an LLMD yet she is extremely knowledgeable when it comes to Lyme. She is an "integrative physician," and everything is covered by my insurance, except my tons of supplements, which includes my main treatment protocol. That is expensive enough for me. If I somehow HAD to see an "LLMD," I would have to self-treat, because it would be completely out of my reach. No question.
I used to say I would see a certain LLMD if I ever win the lottery, lol, but now I wonder if I would even want to. Maybe for a second opinion input session, but I would probably not, even then, want to let go of this gem that I found. I am very grateful to her, as she diagnosed my Lyme. First one, in over twenty years, to really listen and she knew immediately. She has restored my faith in the medical field, and I feel comforted and assured that I am in excellent hands.
-------------------- Best Wishes,
Hope
"Hope is a good thing, maybe the best of things, and no good thing ever dies."
~~The Shawshank Redemption~~ Posts: 234 | From Minnesota | Registered: Dec 2010
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quote:Originally posted by SickLYme: Now that I read the attached links from Lymetoo, it does make sense that the "good" dr's don't accept insurance. I understand the process now and will try to not be so skeptical.
- Thanks for reading the link!! So often we post links and they go ignored. You will do well! You've shown that you will explore and learn what you need to know in order to get well!
-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96222 | From Texas | Registered: Feb 2001
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posted
Thanks Lymetoo....I will utilize all resources available to me, and if I don't...well then I won't learn. Thanks for sharing sooo much with me. I appreciate it from the bottom of my heart Posts: 148 | From AZ | Registered: Sep 2011
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posted
Another option if the doctor is out of network, is to apply for a GAP exception (might be called different things at different companies) - basically if approved, then the provider is considered in-network. You usually have to make the case that there is no comparable service offered within the network.
racer
-------------------- Me - Igenex: IgM: 41IND, IgG: 39IND, 41+ but Plasmid PCR Positive Kiddo - after 1 year IV - positive Lyme culture (before IV: IgM:31,34,41,83-93 IND; IgG: 41+++, 66+) Posts: 133 | From CT | Registered: Feb 2011
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