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Re: Insurance coverage issue

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We have BCBS and they cover 50% of our DAN visits, after deductible

(which is $1000). They cover every bit of our lab work.

S.

>

> Does anybody else have a issue with there insurance company. I have

> BCBS and they did not cover his 1st vistit to his DAN doctor where

he

> was first diagnosed with autism, because he is not on there Prefered

> Doctors list and then they only covered 50% of the labge work which

> was over $2000. ?? What else can I expect ? the Problem is they do

> not have any DAN Doctors on there PMD list.

>

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We have BCBS PPO for ins., and they don't reimburse us for anything

with our 2 boys. They won't pay a dime for Dr. Usman's visits, or

stool tests, or urine tests, or blood tests.

Our ins. is self funded through a local/union and they review all of

our claims with a fine tooth comb, and request all office visit notes

and test results and they still won't pay a dime, claiming it's

experimental.

It's very expensive with treating 2 boys and ins. not covering

anything.

>

> Does anybody else have a issue with there insurance company. I have

> BCBS and they did not cover his 1st vistit to his DAN doctor where

he

> was first diagnosed with autism, because he is not on there Prefered

> Doctors list and then they only covered 50% of the labge work which

> was over $2000. ?? What else can I expect ? the Problem is they do

> not have any DAN Doctors on there PMD list.

>

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This information will do little toward getting coverage, but if you

can set up a FSA through your insurance, you can use pre-tax dollars

to pay for most things that your insurance doesn't. Here's a link

that is just a definition, but it will give you an idea, what I'm

talking about.

Hope this helps

Robbie

http://en.wikipedia.org/wiki/Flexible_spending_account

> >

> > Does anybody else have a issue with there insurance company. I

have

> > BCBS and they did not cover his 1st vistit to his DAN doctor

where

> he

> > was first diagnosed with autism, because he is not on there

Prefered

> > Doctors list and then they only covered 50% of the labge work

which

> > was over $2000. ?? What else can I expect ? the Problem is

they do

> > not have any DAN Doctors on there PMD list.

> >

>

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Thanks Robbie,

Currently, they are not offering a FSA.

It definitly might be worth looking into, and asking them if they

would offer this.

We just had our taxes done, and the accountant was shocked by the

amount we spent this past year on medical/supplements. The sad part

is it isn't fully deductible either.

Thanks again,

> > >

> > > Does anybody else have a issue with there insurance company. I

> have

> > > BCBS and they did not cover his 1st vistit to his DAN doctor

> where

> > he

> > > was first diagnosed with autism, because he is not on there

> Prefered

> > > Doctors list and then they only covered 50% of the labge work

> which

> > > was over $2000. ?? What else can I expect ? the Problem is

> they do

> > > not have any DAN Doctors on there PMD list.

> > >

> >

>

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Is www.needymeds.com helpful to anybody.

Dont know how helpful it is now with the new changes, part d.

kathy e (canada). I know ppl are very frustrated with part d.

> > > >

> > > > Does anybody else have a issue with there insurance company. I

> > have

> > > > BCBS and they did not cover his 1st vistit to his DAN doctor

> > where

> > > he

> > > > was first diagnosed with autism, because he is not on there

> > Prefered

> > > > Doctors list and then they only covered 50% of the labge work

> > which

> > > > was over $2000. ?? What else can I expect ? the Problem is

> > they do

> > > > not have any DAN Doctors on there PMD list.

> > > >

> > >

> >

>

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