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margalow
New Member


Date Joined Apr 2010
Total Posts : 6
   Posted 4/3/2011 3:00 PM (GMT -6)   
My pain management clinic is charging 1200.00 a month. Help! We can't do this anymore. It has used up all our money in our insurance acct. and I have to pay full price for medication. Short of flying to a foreign country, which at this point would probably be more affordable, is there a pain clinic in USA that takes out of state patients?
Thank you.

Screaming Eagle
Veteran Member


Date Joined Sep 2009
Total Posts : 5005
   Posted 4/3/2011 3:21 PM (GMT -6)   
Hello margalow!


I'm wondering if you can go back to you're PCD and explain the situation to them and see if they will script you're med's for you?

I see that back in March of last year you asked for some help with med cost, and some of the members gave you some pretty good alternatives to look at.
Did those work for you?

If you are set with medications that are working, but are struggling with the PM office cost, then you're PCD should be able to script them for you.

You were paying $1200 just for the office call? WOW!

Hopefully some of the other members will be along to suggest a better source for you.

Take care,

SE

wink
"The clock is running. Make the most of today. Time waits for no man. Yesterday is history. Tomorrow is a mystery. Today is a gift. That's why it is called the present."

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1235
   Posted 4/3/2011 5:58 PM (GMT -6)   
Why would you need to go out of state for pain medications? Any clinic that is charging you 1200.00 a month for office visits or prescriptions is not in my opinion, a legitimate clinic.
Go to your insurance website and find a listing for participating pain clinics and start there to locate one in your state.
As long as you have records, tests and results showing your medical condition that justifies you needing pain medications, you should be able to locate them within your state boundries.
Good luck
Sandi

margalow
New Member


Date Joined Apr 2010
Total Posts : 6
   Posted 4/4/2011 9:39 AM (GMT -6)   
My PCD said I have to go to pain management for my pain meds. Don't know why, if this is the law in this state or what. I am going back to him today to discuss these problems.
From the best that hubby can ascertain from very confusing on-line info (it was the weekend. Phones not working at insurance company, of course) the office visits are around $700 and the urine testing is 1200! This is every single month. (I've always tested clean - Rx only) I went back to my PCD last year and said they were charging too much. He said "that's what they all charge." My hubby, who is so wonderful and knows what I've gone through to get some relief just told me not to worry about it.
Well, in less than three months the pain doctor used up all of our $2500 health acct!!! Went to pick up one RX and it was 150.00. Now all has to come out of our pocket. Hubby says we just can't do this anymore. I have a hard time believing that they ALL charge this much. But also afraid that if it is true, how do you find another doctor? I could fly somewhere else and get it cheaper! I've gone to my PCD for over 20yrs. so I trust him. Hubby didn't really share any of this with me last year. He just paid what he had to pay. He is a sweetheart who doesn't want to see me suffer. But all sweethearts have their limits. I don't understand this system. Why are there so many other people in the office? Am I just a chump?

Screaming Eagle
Veteran Member


Date Joined Sep 2009
Total Posts : 5005
   Posted 4/4/2011 1:50 PM (GMT -6)   
 
       Hello margalow!
 
             I'm a bit confused! Easily done though! smilewinkgrin
 
     Are you saying that the office visit and the urine testing is $1900 a month, and that your Insurance only will pay up to $2500 a year? shocked ...Never heard of such a thing before! There must be a little more to this than what we are reading here? Possibly? Insurance is not paying for you're med's either?
 
      Is this a company Insurance plan or one you bought out of pocket? Could you please explain this a little better for the members, so that maybe we can suggest a better direction for you and you're hubby?
 
     Sorry, I just do not understand. I drop off in a fog at times, and I guess this one of those times, so forgive me. wink
 
      SE wink
"The clock is running. Make the most of today. Time waits for no man. Yesterday is history. Tomorrow is a mystery. Today is a gift. That's why it is called the present."

margalow
New Member


Date Joined Apr 2010
Total Posts : 6
   Posted 4/4/2011 3:06 PM (GMT -6)   
Actually, I don't understand it exactly either. When my husband gets home I'll ask him to clarify it a little more. You can now see my frustration as I try to explain this insurance plan everywhere I go.
My husband says hardly anyone else has our plan, and that I don't doubt.
But, basically the bottom line is yes, the office visit and urine testing together are 1900 a month (can that be right? Does anyone else on this board pay that?).
I got a referral to another doctor today and hopefully will get to someone more affordable. But according to my husband, it will be out of our pocket now...at least for awhile. (I'll explain more when I know more). But all I know is that he is upset and at the end of his patience with the whole thing.
Getting something for pain in this state has been pure hell. Years of trying everything. Now I get just enough medication that I can make it through the day. If a person only knew what I've been through trying to prove my pain is real and has almost brought me to the brink....well let's just say to the brink.
I don't waste the privilege of having my pain reduced. I am actually in the process of getting certified as a personal trainer for some exercises developed especially for people who have back pain, fibromyalgia, or arthritis (hopefully I will be certified in the next couple of months). I started a class for free at my church. I have about 12 faithful members. I can no longer work a regular job as a nurse, but I am thrilled to be able to help people in this way! It once again makes me feel like I have a purpose.
But, I shudder to think of going back to a life with no medication for this pain.
There is a great deal of shame put upon pain sufferers who need medication, at least in this state. Here you are supposed to pull yourself up by your cowboy boots, take a Motrin, and get back on the bull.
If only I could....
But anyway, didn't mean to go off on my soap box.
I'm just hoping with my whole heart I have finally found a doctor who cares about me at least as much as he does my wallet.
It is good to have a place to vent.
But I'm going to be positive. Gonna keep on keepin' on! :)

cogito
Veteran Member


Date Joined Oct 2010
Total Posts : 932
   Posted 4/4/2011 4:21 PM (GMT -6)   
Those rates are just outrageous. As others have suggested, you should explore a different pain doctor. You can google "pain management" and your geographical location, contact your insurer for a list, visit ratemds.com, angie's list, or similar sites that review physicians. Another option is to go to a free clinic -- don't ask them to prescribe but ask them to help you find a doctor who accepts patients on a sliding scale.


My office visits are about $200, which is then written down by my insurance to about $100. My most recent urine test was $500, written down to about $25 by my insurance (last time I paid a fair bit more).
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs), RT hip and SI joint damage from car accident. Also, pectus excavatum, supraventricular tacycardia and mitral valve prolapse syndrome.
Current meds: Ultram ER 300mg daily, breakthrough - hydrocodone 10-15mg, or oxycodone 5-7.5mg. .25-.5mg ativan as needed for sleep, Verapamil 240mg SR (for tachycardia). [/gray

margalow
New Member


Date Joined Apr 2010
Total Posts : 6
   Posted 4/4/2011 4:52 PM (GMT -6)   
Thank you for your quick responses.
I am going to write down the name of those websites.
I just got an email from someone who said the new doctor I am hoping to get into is very affordable and compassionate.
Here's to hoping I get into him.
I'm praying my future as a person trainer works out. I want to use my talents and experiences to help others as they find their way through the maze to relief.
There are evidently some docs who just want to bleed the insurance companies dry.

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16796
   Posted 4/4/2011 5:30 PM (GMT -6)   
Margalow yes, you are being gouged by this dr. If you have health insurance, which I am assuming you do, this dr must not be a participate on your plan and therefore, he can charge whatever he likes. Once out of his hands for care, I would be reporting him to the medical association. If you can find a physician in-network with your plan it should cost you less per appt to see the dr. I truly suggest that you become familiar with the insurance that you have so you understand what you can or cannot do that they will pay for. Paying as you have is criminal.

Few PCP's will write scripts for narcotics anymore. Now we have thanks to the DEA and FDA, REMS to deal with for patients that suffer with CP. It is pretty involved and our primary care drs say they do not have the time to deal with all of the red tape involved to rx narcotics. This is going to just keep getting harder and harder for us that suffer with CP.

Before I forget, welcome to Healing Well's chronic pain forum. I am glad that you found us but sorry that you have to be here. Please do keep us posted on the appt goes with the new dr and I do hope he is much more affordable than the other one was, that is terrible. Take care.
Moderator Chronic Pain Forum

uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 4/6/2011 3:26 PM (GMT -6)   
I have NEVER heard of a Pain Management Clinic charging that much for an office visit...even with UA's. My drug tests only cost...at the most....$200...and that's only every few months...and that's not saying what my insurance actually pays for them...only $50... and if your PM Clinic is charging that much I think I'd look for another one...that is so insanely HIGH that I can't even comprehend it...

Is this a legitimate place? or is it one of those places that is only in it for the money....just asking...I've known of a few but even they don't charge more then $300 a month without meds.

Wow!!!

Rhonda

Mrs. Dani
Veteran Member


Date Joined Jun 2009
Total Posts : 2787
   Posted 4/7/2011 9:17 AM (GMT -6)   

 

Dear Marg,

   Good morning. My name is Dani and it is very nice to meet you. Welcome to Healing Well.

     I am at a loss for words with regards to your pain clinic. I agree with others that you need to seek a different option. Even just going to your local hospital and seeing on affiliated with a hospital will help. You are paying far too much. Often times when a clinic is charging that much, it means that something is wrong or amiss with the clinic. I would strongly urge you to seek out other options.

    It was very nice to meet you. I hope you can get to the bottom of things soon. Let us know what you find out.

*Hugg*
   dani


TWO roads diverged in a yellow wood
And sorry I could not travel both
And be one traveler, long I stood

Chronic Pain Moderator
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fish29
Regular Member


Date Joined Apr 2011
Total Posts : 70
   Posted 4/7/2011 11:24 AM (GMT -6)   
Wow this is high!

My pain clinic is known as the best in the USA and they do charge $700 (thats facility and doc), but I usually pay 10%. I go in every 3-4 months. My medication without insurance is around $80 total, with insurance $30. Can they switch you to a less expensive medication? I know they put me on a $100 morphine one time but I told the doctor I could not afford that so we switched.

I checked and my urine test was $250 and I only took it once.

Seems very strange that they are charging you so much!
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