Guest guest Posted February 8, 2007 Report Share Posted February 8, 2007 , I knew That Aundrea has Gerd \Aubrey has had it since Birth then reappeared at age 3 with a vengence. She has been on meds ever since. Aubrey is on Prilosec OTC insurance will not cover anything else. Aubey has taken Reglan and that has help allot. I hope things get better. I hope you all are doing better in the new year....Terri and AUbrey Re: I am so frustrated! Krisitine, You are right about the low reimbursement rates that doctors get with HMO's, Medicaid, Medicare. We have experience with this in our chiropractic office. To be honest the part that frustrated me most was when I said tell me the fees for office visits and I will pay privately and she told me that wasn't an option. That, pissed me off. Aundrea has really continued to improve each day with the warmer weather. No sorethroats for the last few days and joint pain has decreased significantly. I believe this doc will get insurance approval eventually thru the hospital clinic. In the meantime we will stay put. I am a person that will vent, get if off my chest and just move on. Of course since Aundrea's feeling better it probably makes that a little easier to do! :-) I would be more inclined to address the lack of care for jra kids that are under-insured if I didn't have to worry about it jeporadizing our own coverage. We admittedly are a unique case. Most chiropractors don't get state assist for their kids. We only have temporairy coverage now and its due to the excessive debt of opening the practice this year and taking a loss....I would be nervous at this point to rock the boat to much. As frustrating as this was it would be worse if we had no health coverage at all! (Aundrea systemic jra/gerd)- -- In , bound for london <boundforlondon@...> wrote: > > , > > I am so sorry to hear this. I know how excited you have been to have a doctor in your area. The sad part is that most people with medical assistance get their care out of the ER because no one will take the medical coupons because of low reimbursement. The government pays probably 25-50% or less of what the doctor charges. They just had a report on the news the other day about a doctor who takes only Medicaid (government) insurnace. He has been charged with multiple counts of abuse but he still works, made over a million dollars last year, pulls teeth he shouldn't etc but when accused he just says that they are low income, just suiing to get money etc etc and so he goes on treating. Sad! > > There is not good coverage for patients who don't meet certain insurance requirements etc. Is there a Shriners near you? I think they have hospitals in Utah and California. It might be worth calling. I have heard they help with transportation too. This is so sad that you have a child who is needlessly suffering. If it is state insurance and you are not getting anywhere with referrals etc how about contacting your local congressman to see if they can help. It may help. Or even your local newspapers. They may be able to help you push some buttons. > > Hope she gets relief soon. Enjoy the sun. Glad she is feeling better with the sun out. > > e, mom to joe 20 poly + lupus > > > sonia1md <sonia1md@...> wrote: > Here is the good news. Our weather has warmed up considerably and > Aundrea is doing much, much better. > > I got a call today from the arthritis foundation wanting to know if I > could attend the event this sat to welcome the one and only ped > rheumy to the state of az. I asked if he was seeing patients..yep > been seeing them since Sept. I told her I hadn't been able to get > drea in and that I was told they weren't scheduling yet and to call > back in 4 weeks. She gives me the numbers to his clinic. > > I call there and they put the office manager on the line and said > that he doesn't accept our insurance. (its thru the state plan due > to our heavy medical expenses and our income for the year was a major > negative due to opening the practice)...anyway, I said well if we > were to pay you privately so that she could be seen how much would > your office visits be and she said we wont accept you because of your > type of insurance. I told her what if I told you that she doesn't > have insurance and that I pay privately for her care...she replies > well she does have insurance and we don't accept it here! I asked > her where all the kids go for proper medical care that receive state > assistance. She said she has no idea but they don't come to their > clinic. > > How lovely that we finally have a pediatric rheumy in the state of > az. If you have the right insurance then perhaps your child will be > fortunate to be seen. Meanwhile we have so called insurance which > thankfully has paid for labs...but we continue to pay out of pocket > for every dr. visit as well as meds because of the lovely > loophole " prior authorization " ! > > (drea 11 systemic jra/gerd) > > > > > > > --------------------------------- > Looking for earth-friendly autos? > Browse Top Cars by " Green Rating " at Autos' Green Center. > > Quote Link to comment Share on other sites More sharing options...
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