Guest guest Posted August 6, 2006 Report Share Posted August 6, 2006 I thought most policies did not pay for visual exams. I know ours does not. --- Doris and Steve <sjsmith@...> wrote: > just a 'got to pass on' since I'm fighting BCBS on > paying for a vision exam. > > In 's last 2 spect scans, 'Areas of uptake > below the ref range' > are noted for the occipital lobe. > Take a gander at this website: > http://www.neuroskills.com/tbi/boccipit.shtml > > doris > maryland > > > Barb Katsaros barbkatsaros@... __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2006 Report Share Posted August 6, 2006 Great website.....and this is what it said about the frontal lobes, the areas where my son had his hot spots. descibes him to a T. CEREBRAL CORTEX Frontal Lobe: Most anterior, right under the forehead. Functions: How we know what we are doing within our environment (Consciousness). How we initiate activity in response to our environment. Judgments we make about what occurs in our daily activities. Controls our emotional response. Controls our expressive language. Assigns meaning to the words we choose. Involves word associations. Memory for habits and motor activities. Observed Problems: Loss of simple movement of various body parts (Paralysis). Inability to plan a sequence of complex movements needed to complete multi- stepped tasks, such as making coffee (Sequencing). Loss of spontaneity in interacting with others. Loss of flexibility in thinking. Persistence of a single thought (Perseveration). Inability to focus on task (Attending). Mood changes (Emotionally Labile). Changes in social behavior. Changes in personality. Difficulty with problem solving. Inablility to express language (Broca's Aphasia). --- In , Doris and Steve <sjsmith@...> wrote: > > just a 'got to pass on' since I'm fighting BCBS on paying for a vision exam. > > In 's last 2 spect scans, 'Areas of uptake below the ref range' > are noted for the occipital lobe. > Take a gander at this website: > http://www.neuroskills.com/tbi/boccipit.shtml > > doris > maryland > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2006 Report Share Posted August 6, 2006 That would apply for vision issues related to near & far-sightedness. There may be a way around it if it was being done for medical (ie neurological) purposes. If you can show it is for neuro-evaluations, like ordered by a neurologist or something... It may depend on who is doing it as well. Sometimes it's just about presenting the medical need. HTH and good luck getting it paid... --- Barb Katsaros <barbkatsaros@...> wrote: > I thought most policies did not pay for visual > exams. > I know ours does not. > > --- Doris and Steve <sjsmith@...> > wrote: > > > just a 'got to pass on' since I'm fighting BCBS on > > paying for a vision exam. > > > > In 's last 2 spect scans, 'Areas of uptake > > below the ref range' > > are noted for the occipital lobe. > > Take a gander at this website: > > http://www.neuroskills.com/tbi/boccipit.shtml > > > > doris > > maryland > > > > > > > > > Barb Katsaros > barbkatsaros@... > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2006 Report Share Posted August 6, 2006 our BCBS plan will not pay for glasses, contacts, etc unless there is a medical condition. well - according to Dr Repka at the Wilmer Eye Clinic, JHU, the spect scan shows a problem with the occipital lobe (so we have a problem with the way the brain is processing images) and the meds he's on (celexa, effexor and wellbutrin) will affect his eyesight (or rather how he processes the information) hence, you have a medical condition affecting how the eyes process what they are seeing. doris land > > > just a 'got to pass on' since I'm fighting BCBS on > > paying for a vision exam. > > > > In 's last 2 spect scans, 'Areas of uptake > > below the ref range' > > are noted for the occipital lobe. > > Take a gander at this website: > > http://www.neuroskills.com/tbi/boccipit.shtml > > > > doris > > maryland > > > > > > > > > Barb Katsaros > barbkatsaros@... > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2006 Report Share Posted August 6, 2006 very interesting... I'll have to recheck our neurospects results. my son definitely have visual processing issues. Hence, all of his reading problems. but our ins. co. is not very good about stretching things a bit. they tend to be very black and white about what they will and won't pay for. it is always a battle, isn't it? our ins. co. refuses to pay for any ssris, wellbutrin, etc. because they have in their policy that they do not pay for psychiatric illnesses. well, my kids are not using it for psychiatric. we went around and around with them, and it finally boils down to, do we want to put out the money to pay for a lawyer, and then on top of that, the ins. co stated that they " reserve the right " to question whether or not the nids protocol is beyond what is medically necessary. so in other words it is a bit of a standoff. so aggravating. --- drsmit6 <sjsmith@...> wrote: > our BCBS plan will not pay for glasses, contacts, > etc unless there > is a medical condition. > well - according to Dr Repka at the Wilmer Eye > Clinic, JHU, > the spect scan shows a problem with the occipital > lobe > (so we have a problem with the way the brain is > processing > images) and the meds he's on (celexa, effexor and > wellbutrin) > will affect his eyesight (or rather how he processes > the information) > > hence, you have a medical condition affecting how > the eyes process what they are seeing. > > doris > land > > > > > > > > just a 'got to pass on' since I'm fighting BCBS > on > > > paying for a vision exam. > > > > > > In 's last 2 spect scans, 'Areas of uptake > > > below the ref range' > > > are noted for the occipital lobe. > > > Take a gander at this website: > > > http://www.neuroskills.com/tbi/boccipit.shtml > > > > > > doris > > > maryland > > > > > > > > > > > > > > > Barb Katsaros > > barbkatsaros@... > > > > __________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
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