RE: Re: Growth Hormone and Eligibility Question

[Guest guest]

Some insurance companies will stimpulate in thei contract they don't

cover GH unless it the child has been diagnosed with a medical conditon that

requires it and has prooven a necessity to have it. Our insurcance recenlty

changed to this last May and it cause all kinds of problmes for a mom I know

whose chil isn't RSS, and technically passed the Stimulation test (barely),

but his growth curve and bone age are 2.5 deviations below the curve and he

is well below the 5%. They ended up allowing him to have it only because

the family got thier request for the drug was dated in May of 2004 2 weeks

prior to the change, even though they didn't receive the request untiul

June. It took her 4 weeks tro fight this abttle with the insurance

company.

Alot of companies are changing policies because as you all know it is soo

darn expensive.

Jay

Mom to

almost 6

Mathieu 2 24# and 31 "

Tonya is correct. If a medical doctor deems it medically necessary

for a child to have gh, then the insurance company will pay for it.

That does not mean it will be without some sort of conflict. For

example, when my husband changed jobs, we had new insurance and they

denied his gh which he had been taking since he was almost 3. They

said he was not showing good enough growth on it, so they did not

want to pay. Dr. H. convinced them that he needed it and they now

pay for everything - including the syringes and alcohol swabs!

Jodi Z

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