Health Ins. FMS

Discussion in 'Fibromyalgia Main Forum' started by wenld, Mar 22, 2007.

  1. wenld

    wenld New Member

    Does anyone have any info on why FMS is not treated as a disease & taken care of with health ins.? My doc told me that Blue Sheild won't pay for my help.
    I'm spending a small fortune on getting better.
  2. suzetal

    suzetal New Member

    I have had Blue Shield since the get go and it has always paid for mine.

    I also have it as a additional insurance to my Medicare it covers all my meds for part D and I have a small co pay at the Doctors office 10.00.

    Maybe its him who does not deal with them.I would call them and see if your doc is covered.

  3. jmq

    jmq New Member

    They have covered 80% of everything...including messages! The only complaint I have is there is no coverage for all the supplements that are good to try.

    No complaints here.
  4. suzette1954

    suzette1954 New Member

    anything that my PC or even the rheumy orders. Im thinking that its your dr and not the insurance.

  5. cczub

    cczub New Member

    All my doctor appointments have been covered. THey won't cover a sleep study though so they also don't cover Provigil.

    All the other meds my doctor has tried and I'm on have been covered though.

    All I have to pay are my co-pays, which in themselves add up to a small fortune with the doctor appointments and the month phamarcy runs.
  6. Greenbean7

    Greenbean7 New Member

    The only thing my insurance doesn't cover is the pain clinic (sorry can't remember what you call it) and I don't go there anyway.

    I'm on Blue Cross/Blue Shield. Check with the insurance company and find out what the doctor is coding your appointments as. You should be covered if he is coding you correctly.

    The only way Blue Cross would deny benefits is if they consider it a "pre-existing condition" AND you didn't have continuous medical insurance before you got Blue Cross. When I started here two years ago I had to give Blue Cross proof of continuous med coverage othewise they would have denied benefits for my migraines and FM for 12 months.


    Stop and smell the puppies!
  7. FibroPainSufferer

    FibroPainSufferer New Member

    I have Blue Cross & Blue Shield Keystone, my co-pay for a regular doctor visit is $15.00, for a specialist it’s $30.00 but now that my PCP, who is also a pain specialist, considers me part of “Pain Management” my co-pay is $80.00. I asked why & the nurse told me it’s because my insurance looks at pain management in a different light. Also, doctors have a harder time getting paid for it.

    There is something wrong with this!!! My fibro & nerve damage is putting me in the poor house!!!
  8. gidgetsmom

    gidgetsmom New Member

    I have blue cross/blue shield and they have paid everything. Dr. visits, x-rays, mri's, meds....all covered.

    I paid one $15 copay at pain management 18 months ago and have never had another copay there.

  9. elliespad

    elliespad Member

    I, too, have BlueCross/BlueShield, a PPO policy. Have ALWAYS had GREAT coverage. Some things I have had covered are: Accupuncture (when coded for CHRONIC PAIN), IV Glutathione, Physical Therapy, all office visits, and drugs for any reason. Has even covered any of the specialty labs I have used. I USUALLY see out-of-network doctors and pay upfront, then submit and they cover those with no problem too.
    [This Message was Edited on 03/24/2007]

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