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Rhonna wrote:

Back to the problem...I received a letter from my insurance company this

week and they are requesting that I see one of two doctors for a second

opinion.

Now the two doctors that I get to choose from are two doctors

that I have seen in the past that both said that my illness was " all in

my head " . Hence my problem.

I never want to see either of these doctors again

let alone let them have such an influence on my life.

Any suggestions on how to fight this?

Thanks for any help you can provide,

Hi Rhonna,

Please immediately consult with an attorney -- I'll

pay for the consultation. I think there is the possibility

that you are being severely damaged by the insurance

company. In such a case, the attorney may take it on a

contingency basis.

Otherwise, get a cost estimate for obtaining an injunction

against the insurance company. I'll be talking with you.

Jack

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Rhonna-

I'm not sure about how to avoid having to see one of these doctors, maybe the

suggestion of a lawyer is a good one. But, when confronted with a similar

issue with my ins. co., I was counseled by the insurance ombudsman of the state

that I needed to consent to go to the consultation. This was as part of my

appealing the ins.co's refusal to pay benefits for my out-of-network LLMD. I

eventually won the appeal, and they now cover my LLMD at the same rate they

cover in-network doctors. So if you do have to go to a 'second opinion'

consultation with an ID doc, the following would be my strategy (for what it's

worth) based on what worked for me:

The insurance companies have to provide quality of care and a doctor who has

" **'current competence'** according to the prevailing standard of care. " Now,

this is part of the insurance code and law of Virginia, so you need to make sure

that's true where you are, but my guess is that it's pretty standard. Okay- my

strategy was to prove this doctor did not have **current competence** in the

field of treating **chronic** lyme disease. [Now, it may have helped that

after being ill for 8 years I was recently positive by PCR (it's important to

get serial PCR's if you go that route). Do you have any positive tests, old or

new? A recent LUAT?]

The important points here, IMHO, are that you have *chronic* LD, and that you

can demonstrate the doctor you are sent to does not have *current competence* in

the field of treating chronic lyme disease. There are several ways to go about

doing this having to do with the type of questions *you ask him* at the

consultation. These questions have to do with how many patients with chronic LD

is he currently treating, is he going to lyme conferences and which ones, does

he know about the different theories of persistence of infection (you have to

have done your homework), does he know about the newest medications being used

and why(flagyl, questran, etc.). Is he up on the most current literature? is

he up on the tests? and the problems? How would he treat you and why?

There are some other questions I would probably ask while I was there, and some

other things.. like be cooperative, but ask all your questions and **write down

the answers**. If you aren't well enough to handle it with him, bring someone

who can do it with you.. perhaps, a family member you trust. Then, you have to

take all of this information and write a letter to the insurance co. documenting

your meeting with him, your problems with his being a consultant on your case,

etc., etc.

The first question is though-- Can you avoid having to go see this doctor in the

first place? You need to be careful about answering this question.. if you are

not going to cooperate, can they retaliate, throw you out, etc. A lawyer would

be able to tell you this.. or the State Commission's Bureau of Insurance

ombudsman may be able to help you with this.. you should find out who this,

contact him, and see if he is friendly. It is their job to try to help resolve

insurance issues equitably.. at least, that's my understanding. The ombudsman

here was pretty helpful.

Hope that helps-- if you need more info, email.

Lainie

[ ] Insurance problems

> Hi all--

> My insurance company, which up until now, had been very cooperative with

> the treatment that I have been receiving for the past 3 1/2 years for

> lyme. I was pulled from what I believe was the brinks of death by my

> llmd. Ironically, I only found him because I went to visit my mother

> who lived near him, and when I could not find my way to her house from

> the interstate (my parents had lived there 13 years!), she convinced me

> to see this wonderful doctor who I believe saved my life.

> Back to the problem...I received a letter from my insurance company this

> week and they are requesting that I see one of two doctors for a second

> opinion. Now the two doctors that I get to choose from are two doctors

> that I have seen in the past that both said that my illness was " all in

> my head " . Hence my problem. I never want to see either of these

> doctors again let alone let them have such an influence on my life.

> Any suggestions on how to fight this?

> Thanks for any help you can provide,

> Rhonna in Ohio

>

>

>

> HAPPY HOLIDAYS!!!

>

>

> Easy Reference:

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Whoops! LOL I didn't mean to post that to the group.. This is the one I meant

to post to the group.. Have a good laugh, but I think it worth thinking about:

I think I have some information that might be helpful with your problem, but I

am hesitant to post all of the details on an open list. I will email you

privately with some suggestions.

Do we need to think about how we can share this kind of information in a secure

way. Almost all of us have insurance problems, but we can't be sure who might

be monitoring our open boards..

Just a thought..

Lainie

You wrote:

> Back to the problem...I received a letter from my insurance company this

> week and they are requesting that I see one of two doctors for a second

> opinion. Now the two doctors that I get to choose from are two doctors

> that I have seen in the past that both said that my illness was " all in

> my head " . Hence my problem. I never want to see either of these

> doctors again let alone let them have such an influence on my life.

> Any suggestions on how to fight this?

> Thanks for any help you can provide,

> Rhonna in Ohio

>

>

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  • 9 years later...

My company recently switched health insurance companies. The new prescription

card is from Medco. My old insurance covered testosterone injections but my new

insurance doesn't. How does this work? They don't seem to cover any

testosterone injections. Has anyone else experienced this with Medco?

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