fighting insurance co...need ammunition...please help

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

tickedoff
Regular Member


Date Joined Jun 2009
Total Posts : 56
   Posted 7/31/2009 7:16 AM (GMT -7)   
looking for any studies or articles that document the success of long term iv treatment...insurance co will only provide 28 day per IDSA guidelines...i'm going to fight them as much as i can...watched webcast yesterday and would love to get a hold of Dr. Steven Phillips speech about people who were harmed, sometimes died as a result of the IDSA treatment guidelines...gearing up for a battle...appreciate any advise especially if someone has also tried to fight them...thanks...Carol

CajunGrl
Veteran Member


Date Joined Mar 2009
Total Posts : 4717
   Posted 7/31/2009 7:59 AM (GMT -7)   
Tickedoff,

Maybe you can do the 28 days and then see if your doctor can put in another request for longer IV use. He can always say that it did help but you need more time on it. You'd be surprised what a doctor can do.
**You never know how STRONG you are....until being STRONG is the ONLY choice you have**

Co-Moderator Lyme Disease Forum

Post Edited (CajunGrl) : 7/31/2009 9:02:01 AM (GMT-6)


Lovelabs
Regular Member


Date Joined Jun 2009
Total Posts : 367
   Posted 7/31/2009 8:11 AM (GMT -7)   
Carol,
Go on the ILADS website. I know there is a presentation available to watch by Dr. Phillips. This presentation basically to me seemed pretty similar to yesterday's. It may help you. Can't argue too much with all of his data. He is my favorite person in the world right now. Didn't he kick butt yesterday? Maybe call your attorney generals office...sometimes they are very willing to help

tickedoff
Regular Member


Date Joined Jun 2009
Total Posts : 56
   Posted 7/31/2009 8:36 AM (GMT -7)   
thanks lovelabs and cajungrl,

...spoke to an appeals nurse who suggested the dr. request additional treatment after the first week because it will definitley be denied and until it's denied i can't start the process for an appeal...which will take some time she said...we can then request an appeal from the dept of insurance an outside agency and the insurance co must abide by their decision...but, i agree cajungrl, you never know but it doesn't seem likely given the appeals nurse comment that 28 days is the policy and treatment longer than that isn't beneficial...i told her well, that maybe the guidelines but that it wasn't true...

...dr. phillips was great...will check out the site.

just put a call into my congresswoman's office Carolyn Maloney who apparently sponsored a bill relating to the CDC's researchers conflict of interest /and vaccine research...also called CT Attorney General's office...this is just the beginning...have to do my homework but i'm going down fighting if i'm going down...

appreciate any other ideas...links, etc...

CajunGrl
Veteran Member


Date Joined Mar 2009
Total Posts : 4717
   Posted 7/31/2009 8:42 AM (GMT -7)   
I'm not sure about IV but sometimes the insurance company denies something and the doctor can come in and override their decision if it's medically necessary.
**You never know how STRONG you are....until being STRONG is the ONLY choice you have**

Co-Moderator Lyme Disease Forum

New Topic Post Reply Printable Version
Forum Information
Currently it is Thursday, November 23, 2017 5:12 PM (GMT -7)
There are a total of 2,897,279 posts in 317,994 threads.
View Active Threads


Who's Online
This forum has 157566 registered members. Please welcome our newest member, e2w3e.
267 Guest(s), 6 Registered Member(s) are currently online.  Details
mattamx, readingmom, Hoagie, searchinginla, NiceCupOfTea, ByHisGrace


About Us | Advertise | Donate
Newsletter | Privacy Policy & Disclaimer
Follow HealingWell.com on Facebook Follow HealingWell.com on Twitter Follow HealingWell.com on Pinterest
©1996-2017 HealingWell.com LLC  All Rights Reserved.