"In Home" IV Care?

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Regular Member

Date Joined Sep 2006
Total Posts : 364
   Posted 9/7/2010 9:35 AM (GMT -7)   
So, I am currently waiting for my ID doctor to get back from being out of the country. When we called him to find the status of if my insurance approved me a PICC line for the LD his nurse all he could do at this time was "home health". I have read some things about people getting home health doing PICC lines and then their insurance not paying - this happened to anyone here? I just want to make sure if we get the pre-approval and everything that we don't end up with an enormous bill at the end.

I also was reading my insurance's policy on Lyme and saw that now they only cover 28 days of IV treatment (last time a couple of years ago I had almost 6 months!). Is this really long enough to do anything!?!?

Due to issues with my swallowing and things getting stuck, etc. after having eshoghagitis over a year ago I am unable to take most of the oral antibiotics that my doctor has recommended (also causes major problems with my IBS, lymphocytic colitis).

Thanks for any info or experiences.

Blessings to you all and hope you are all doing well,

Veteran Member

Date Joined Aug 2007
Total Posts : 4399
   Posted 9/7/2010 11:38 AM (GMT -7)   
If you know the name of the company who provides the home health PICC line care, you can contact them and ask about their experience with your insurance company.  You can also call your insurance company and ask what all needs to happen for your home health PICC care to be covered (do NOT mention Lyme when you ask).
Also, if your doctor uses diagnosis codes that are other than Lyme as a reason for IV meds, such as your difficulty swallowing, then this may take precidence over the 28 day limitation on IV meds for Lyme.  Your doctor would likely need to provide documentation and a letter explaining this to the insurance company...
My home health PICC care has been covered for over 2 years, and IV antibiotics have been covered for over a year (was not on them before that) because of immune deficiency, continual infection issues (skin infections, etc.), and difficulty swallowing.
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