Does anyone's insurance pay for FFC?

Discussion in 'Fibromyalgia Main Forum' started by Hootie1, Jul 9, 2006.

  1. Hootie1

    Hootie1 New Member

    I am considering changing insurance companies because the FFC is getting a bit too expensive for me.

    My husband's company has choices- who's covers the FFC? I have also considered getting a referral to an immunologist as well as an infectious disease specialist so that my insurance will pay.
  2. kellyann

    kellyann New Member

    They do not accept insurance of any kind. It is up to you to file it with your insurance if possible.

    It is expensive to go there, but after the first couple visits when they do the most blood work it isn't too awful. They charge me $180 per visit now, and I have a visit every six weeks or so. Of course the supplements cost a small fortune. I usually do my visits over the phone, so I don't do all the IV and shot theraphy. I do have to go get more blood work done, but can do that at my local hospital and they send the results to the FFC. So it isn't too bad.

    The hardest thing is the prescriptions. My insurance does not cover prescriptions written by the FFC doctor, so I have to take the presciptions to my primary care doctor and beg him to rewrite them. Which so far he has done, thank goodness. But it is a pain in the butt!


    Good luck with your insurance and the FFC!
    Kellyann
  3. Hootie1

    Hootie1 New Member

    The IVs, doctors visits, and prescriptions are what I'm looking for.

    I had the blood work done already. I hate to think that I am paying for insurance and yet it isn't paying for my treatment. I have an opportunity to shop for insurance. I have no trouble filing for reimbursement.

    Aetna PPO- to your knowledge does it pay for compounding pharmacy?
  4. jbgoth

    jbgoth New Member

    I just started to go to the FFC in Atlanta. I am also an out of town patient.

    United Healthcare is my insurance. I have the PPO plan. I called them and they told me all of the bloodwork from Quest labs should be covered. I hope it is.

    Why would your insurance not cover the prescriptions?

    Thanks,

    Jordan

  5. place

    place New Member

    They said all my labs are covered except for those condition such as fertility testing.

    I did not realize that some INsuracne co's don't pay for perscriptions?

    Does anyone know why they would not?
  6. Hootie1

    Hootie1 New Member

    We have a flexible spending account at work also- I didn't enroll, but plan to for the next year. I hate to give up on the FFC, but I can't keep putting out the money when I might be able to get the same thing within the insurance plan.

    Jolie- I'll keep you updated and you do the same for me- ok?
  7. fmcurepls

    fmcurepls New Member

    Jolie,

    Do you send your claims to Pharma Care or does the doctor at the FFC order your compounding prescriptions from them? I have never used them before. I have United Health Care and they also use Pharma Care. I hope United pays for the IV's. I hope you are feeling better.

    Sharon
  8. Hootie1

    Hootie1 New Member

    Thanks for the info, I didn't realize that they had no interest for 12 months. I will call them today.
  9. pawprints

    pawprints New Member

    A quick Aetna question. Maybe I am doing something wrong. Aetna will pay for compunding as long as I use their compunding pharmacy. Did you have the compunded RXs filled at the one recommended by the FFC or Aetna's?

    Perhaps our plans are different. Aetna is so good at losing my claims.

    Also, will they pay for IV's? Since I live out of state I never submitted any for IV's, but if I go again, maybe I will get IVs.

    Thanks.
    Pawprints
  10. mollystwin

    mollystwin New Member

    that my HMO would not pay for any presriptions unless written by my PCP, but the pharmacy submitted it and they did pay. My HMO will not pay for compounded pharmacy though.
  11. pawprints

    pawprints New Member

    Bumping for answer about Aetna