Insurance woes

[Guest guest]

Kerri, I had heard with medical bills, if you just send them a small amount every month as long as it's consistent, then they can't garnish your wages.. Of course that doesn't help with meds, as those have to be paid upfront. You might want to check the laws in your state, as it seems the bills are going to be on-going for a time and the last thing you need is that additional stress.. I sure don't blame you for being angry, especially with 2 small children at home.. Sheena Hillbilly Tim <knoxweb1@...> wrote: let them garnish you the most is 25% and only 1 at a time.im doing that now.then when they get soooooooooooooo high im gonna drop the big chapter 7 on them.Kerri Landress <kerrilandress > wrote: Janet, I am being nickeled and dimed to death (or at least to broke) by my insurance (Aetna PPO) 20% of lab bills, dr. visits and my drug co-pays are about to put me in the poorhouse!! Sorry to keep going on and on about this... I'm still mad about paying $524 for my neupogen, which I started taking yesterday. I found out that drug actually costs $2680.00!!! I do count my blessings that I at least have insurance to cover most

of it!! I go to get a lab drawn today. For as much money as I've spent on this stuff, it bettter work some magic on my white blood counts and the way I've been feeling! KerriSheena <mom4possums2002 > wrote: I'm sorry, Janet! Holy Canoli, remind me to stop my sniveling! Of course the difference is , you can GET treatment, while with some HMO's you might be fighting a long, long time. Hey, maybe by the time I get it resolved, the new meds will be ready to go.. I loved the thought of possibly clearing in 28 days, wouldn't THAT be something! And shortening the year + to 3 months, WOW! There is a light out there somewhere.. Sheena Janet <doc_jade > wrote: You got it girl Let me show you a for instance. My doctor bills the insurance 138.00 my co-pay at the time is 12.00 Tricare paid my doctor 46.00 = left over and my responsibility 76.00 What the heck do I have insurance for and why do I pay a co-pay right then and there??? Why can't I wait till they send the rest of the bill? Ok now blood test, Hemoglobin Glycated my doctor billed 48.00 my insurance paid 33.93 my part 14.07 (okay that is not too bad) I can handle that one. And so forth and so forth. Still haven't got the bill for the PCR I bet that one is gonna kick me in the butt. Merry Freakin Christmas Janet. LOL Love JanetSheena <mom4possums2002 > wrote: Oh, Kerri, I do understand, we are not totally "poor", either, but by no means able to afford such drug costs. What a system.. <sigh> Sheena Kerri Landress <kerrilandress > wrote: Tahnks, Sheena. Unfortuanty we have "too high" of an income to qualify... but who has so much money that they can afford $800+ on medicine, plus copays on labs and dr. visits? I'm lucky in that we do not struggle financially, but I do have two young kids... and am by no means rich!!Sheena <mom4possums2002 > wrote: Kerri, Please try to contact the drug company like Liz suggested, that is just awful what you are going through. It's okay to vent! I do so loudly, and people DO care about each other here.. I am so sorry, keeping you in my prayers.. Sheena kerrilandress <kerrilandress > wrote: I'm finally getting my neupogen tomorrow, so I'm hoping it will make me feel better. I've been feeling extremely run down and light headed and have had a soar throat and a fever. I've also felt nausious at times. Today, when I looked online on my insurance acct. to make sure the transaction went through, I saw my copay on this drug is 524.00!!! I already pay 230.00 for the pegasys!! I Hate insurance companies and drug companies!!! My insurance only pays 90% of injectable drugs!(10% I have found is still A LOT of money!!!) I know that I am lucky to have it, but that is ALOT of money... especially at Christmas time. I've already spent a fortune on copays for specialist visits, labs, CT-scans, biopsy, etc... (insurance only covers 80% of that...)This is just very depressing. Sorry if I'm whining, I do realize that there are a lot of people

less fortunate than I, and I need to count my blessings that I at least have this opportunity to get better... But, come on!! I have to complain a little!! (I have no one else to vent at!)Kerri Want to start your own business? Learn how on Small Business. Access over 1 million songs - Music Unlimited. Everyone is raving about the all-new beta. Take the ordinary things of life, and make them your own. Do the impossible with a smile Check out the all-new beta - Fire up a more powerful email and get things done faster. __________________________________________________

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By the time open enrollment time comes for me, maybe Vertex will be

on the market already...Haha...I wish!

> I'm finally getting my neupogen tomorrow, so I'm hoping it

will make

> me feel better. I've been feeling extremely run down and light

headed

> and have had a soar throat and a fever. I've also felt nausious at

> times. Today, when I looked online on my insurance acct. to make

sure

> the transaction went through, I saw my copay on this drug is

524.00!!!

> I already pay 230.00 for the pegasys!! I Hate insurance companies

and

> drug companies!!! My insurance only pays 90% of injectable drugs!

(10%

> I have found is still A LOT of money!!!) I know that I am lucky to

> have it, but that is ALOT of money... especially at Christmas time.

> I've already spent a fortune on copays for specialist visits, labs,

CT-

> scans, biopsy, etc... (insurance only covers 80% of that...)This is

> just very depressing. Sorry if I'm whining, I do realize that there

> are a lot of people less fortunate than I, and I need to count my

> blessings that I at least have this opportunity to get better...

But,

> come on!! I have to complain a little!! (I have no one else to vent

> at!)

> Kerri

>

>

>

>

>

> ---------------------------------

> Want to start your own business? Learn how on Small

Business.

>

>

>

>

>

> ---------------------------------

> Access over 1 million songs - Music Unlimited.

>

>

>

>

>

> ---------------------------------

> Everyone is raving about the all-new beta.

>

>

>

>

>

>

> Take the ordinary things of life, and make them your own. Do the

impossible with a smile

> ---------------------------------

> Check out the all-new beta - Fire up a more powerful

email and get things done faster.

>

>

>

> __________________________________________________

>

[Guest guest]

We may yet be starting treatment together! <marvindamartian05@...> wrote: By the time open enrollment time comes for me, maybe Vertex will be on the market already...Haha...I wish!> I'm finally getting my neupogen tomorrow, so I'm hoping it will make > me feel better. I've been feeling extremely run down and light headed > and have had a soar throat and a fever. I've also felt nausious at > times. Today, when I looked online on my insurance acct. to make sure > the transaction went through, I saw my copay on this drug is 524.00!!! > I already pay 230.00 for the pegasys!! I Hate insurance companies and > drug companies!!! My insurance only pays 90% of injectable

drugs!(10% > I have found is still A LOT of money!!!) I know that I am lucky to > have it, but that is ALOT of money... especially at Christmas time. > I've already spent a fortune on copays for specialist visits, labs, CT-> scans, biopsy, etc... (insurance only covers 80% of that...)This is > just very depressing. Sorry if I'm whining, I do realize that there > are a lot of people less fortunate than I, and I need to count my > blessings that I at least have this opportunity to get better... But, > come on!! I have to complain a little!! (I have no one else to vent > at!)> Kerri> > > > > > ---------------------------------> Want to start your own business? Learn how on Small Business. > > > > > > ---------------------------------> Access over 1 million

songs - Music Unlimited. > > > > > > ---------------------------------> Everyone is raving about the all-new beta. > > > > > > > Take the ordinary things of life, and make them your own. Do the impossible with a smile > ---------------------------------> Check out the all-new beta - Fire up a more powerful email and get things done faster. > > > > __________________________________________________>

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The web addy for Amgen is www.amgen.com it doesnt hurt if she tries ..Jackie on <redjaxjm@...> wrote: Kerri You can apply to the company Amgen I think and see IF they will help you with the copays since it really IS awful to have to pay for this stuff! I would apply for assistance from them! Kerri Landress <kerrilandress > wrote: Janet, I am being nickeled and dimed to death (or at least to broke) by my insurance (Aetna PPO) 20% of lab bills, dr. visits and my drug co-pays are about to put me in the poorhouse!! Sorry to keep going on and on about this... I'm still mad about paying $524 for my neupogen, which I started taking yesterday. I found out that drug actually costs $2680.00!!! I do count my blessings that I at least have insurance to cover most of it!! I go to get a lab drawn today. For as much money as I've spent on this stuff, it bettter work some magic on my white blood counts and the way I've been feeling! KerriSheena <mom4possums2002 > wrote: I'm sorry, Janet! Holy Canoli, remind me to stop my sniveling! Of course the

difference is , you can GET treatment, while with some HMO's you might be fighting a long, long time. Hey, maybe by the time I get it resolved, the new meds will be ready to go.. I loved the thought of possibly clearing in 28 days, wouldn't THAT be something! And shortening the year + to 3 months, WOW! There is a light out there somewhere.. Sheena Janet <doc_jade > wrote: You got it girl Let me show you a for instance. My doctor bills the insurance 138.00 my co-pay at the time is 12.00 Tricare paid my

doctor 46.00 = left over and my responsibility 76.00 What the heck do I have insurance for and why do I pay a co-pay right then and there??? Why can't I wait till they send the rest of the bill? Ok now blood test, Hemoglobin Glycated my doctor billed 48.00 my insurance paid 33.93 my part 14.07 (okay that is not too bad) I can handle that one. And so forth and so forth. Still haven't got the bill for the PCR I bet that one is gonna kick me in the butt. Merry Freakin Christmas Janet. LOL Love JanetSheena <mom4possums2002 > wrote: Oh, Kerri, I do

understand, we are not totally "poor", either, but by no means able to afford such drug costs. What a system.. <sigh> Sheena Kerri Landress <kerrilandress > wrote: Tahnks, Sheena. Unfortuanty we have "too high" of an income to qualify... but who has so much money that they can afford $800+ on medicine, plus copays on labs and dr. visits? I'm lucky in that we do not struggle financially, but I do have two young kids... and am by no means rich!!Sheena <mom4possums2002 > wrote: Kerri, Please try to contact the drug company like Liz suggested, that is just awful what you are going through. It's okay to vent! I do so loudly, and people DO care about each other here.. I am so sorry, keeping you in my prayers.. Sheena kerrilandress <kerrilandress > wrote: I'm finally getting my neupogen tomorrow, so I'm hoping it will make me feel better. I've been feeling extremely run down and light headed and have had a soar throat and a fever. I've also felt nausious at times. Today, when I looked online on my insurance acct. to make sure the transaction went through, I saw my copay on this drug is 524.00!!! I already pay 230.00 for the pegasys!! I Hate

insurance companies and drug companies!!! My insurance only pays 90% of injectable drugs!(10% I have found is still A LOT of money!!!) I know that I am lucky to have it, but that is ALOT of money... especially at Christmas time. I've already spent a fortune on copays for specialist visits, labs, CT-scans, biopsy, etc... (insurance only covers 80% of that...)This is just very depressing. Sorry if I'm whining, I do realize that there are a lot of people less fortunate than I, and I need to count my blessings that I at least have this opportunity to get better... But, come on!! I have to complain a little!! (I have no one else to vent at!)Kerri Want to start your own business? Learn how on Small Business. Access over 1 million songs - Music Unlimited. Everyone is raving about the all-new beta. Take the ordinary things of life, and make them your own. Do the impossible with a smile Check out the all-new beta - Fire up a more powerful email and get

things done faster. __________________________________________________

[Guest guest]

Thanks Liz,, Im sure you are right, it certainly does NOT hurt to try! Im sorry about your trip to australia,, I'd be so angry! lolelizabeth savage <elizabethnv1@...> wrote: The web addy for Amgen is www.amgen.com it doesnt hurt if she tries ..Jackie on <redjaxjm > wrote: Kerri You can

apply to the company Amgen I think and see IF they will help you with the copays since it really IS awful to have to pay for this stuff! I would apply for assistance from them! Kerri Landress <kerrilandress > wrote: Janet, I am being nickeled and dimed to death (or at least to broke) by my insurance (Aetna PPO) 20% of lab bills, dr. visits and my drug co-pays are about to put me in the poorhouse!! Sorry to keep going on and on about this... I'm still mad about paying $524 for my neupogen, which I started taking yesterday. I found out that drug actually costs $2680.00!!! I do count my blessings that I at least have insurance to cover most of it!! I go to get a lab drawn today. For as much money as I've spent on this stuff, it bettter work some magic on my white blood counts and the way

I've been feeling! KerriSheena <mom4possums2002 > wrote: I'm sorry, Janet! Holy Canoli, remind me to stop my sniveling! Of course the difference is , you can GET treatment, while with some HMO's you might be fighting a long, long time. Hey, maybe by the time I get it resolved, the new meds will be ready to go.. I loved the thought of possibly clearing in 28 days, wouldn't THAT be something! And shortening the year + to 3 months, WOW! There is a light out there somewhere.. Sheena Janet <doc_jade > wrote: You got it girl Let me show you a for instance. My doctor bills the insurance 138.00 my co-pay at the time is 12.00 Tricare paid my doctor 46.00 = left over and my responsibility 76.00 What the heck do I have insurance for and why do I pay a co-pay right then and there??? Why can't I wait till they send the rest of the bill? Ok now blood test, Hemoglobin Glycated my doctor billed 48.00 my insurance paid 33.93 my part 14.07 (okay that is not too bad) I can handle that one. And so forth and so forth. Still haven't got the bill for the PCR I bet that one is gonna kick me in the butt. Merry Freakin Christmas

Janet. LOL Love JanetSheena <mom4possums2002 > wrote: Oh, Kerri, I do understand, we are not totally "poor", either, but by no means able to afford such drug costs. What a system.. <sigh> Sheena Kerri Landress <kerrilandress > wrote: Tahnks, Sheena. Unfortuanty we have "too high" of an income to qualify... but who has so much money that they can afford $800+ on medicine, plus copays

on labs and dr. visits? I'm lucky in that we do not struggle financially, but I do have two young kids... and am by no means rich!!Sheena <mom4possums2002 > wrote: Kerri, Please try to contact the drug company like Liz suggested, that is just awful what you are going through. It's okay to vent! I do so loudly, and people DO care about each other here.. I am so sorry, keeping you in my prayers.. Sheena kerrilandress <kerrilandress > wrote: I'm finally getting my neupogen tomorrow, so I'm hoping it will make

me feel better. I've been feeling extremely run down and light headed and have had a soar throat and a fever. I've also felt nausious at times. Today, when I looked online on my insurance acct. to make sure the transaction went through, I saw my copay on this drug is 524.00!!! I already pay 230.00 for the pegasys!! I Hate insurance companies and drug companies!!! My insurance only pays 90% of injectable drugs!(10% I have found is still A LOT of money!!!) I know that I am lucky to have it, but that is ALOT of money... especially at Christmas time. I've already spent a fortune on copays for specialist visits, labs, CT-scans, biopsy, etc... (insurance only covers 80% of that...)This is just very depressing. Sorry if I'm whining, I do realize that there are a lot of people less fortunate than I, and I need to count my blessings that I at least have this opportunity to get better... But, come on!! I have to complain a

little!! (I have no one else to vent at!)Kerri Want to start your own business? Learn how on Small Business. Access over 1 million songs - Music Unlimited. Everyone is raving about the all-new beta. Take the ordinary things of life, and

make them your own. Do the impossible with a smile Check out the all-new beta - Fire up a more powerful email and get things done faster. __________________________________________________

[Guest guest]

Yeah, I'll make it. I'm lucky because my husband is the bread winner and my income is (was) our "play and save " money. It just sucks to be sick... and have to shell out so much money!Sheena <mom4possums2002@...> wrote: Kerri, I had heard with medical bills, if you just send them a small amount every month as long as it's consistent, then they can't garnish your wages.. Of course that doesn't help with meds, as those have to be paid upfront. You might want

to check the laws in your state, as it seems the bills are going to be on-going for a time and the last thing you need is that additional stress.. I sure don't blame you for being angry, especially with 2 small children at home.. Sheena Hillbilly Tim <knoxweb1 > wrote: let them garnish you the most is 25% and only 1 at a time.im doing that now.then when they get soooooooooooooo high im gonna drop the big chapter 7 on them.Kerri Landress <kerrilandress > wrote: Janet, I am being nickeled and dimed to death (or at least to broke) by

my insurance (Aetna PPO) 20% of lab bills, dr. visits and my drug co-pays are about to put me in the poorhouse!! Sorry to keep going on and on about this... I'm still mad about paying $524 for my neupogen, which I started taking yesterday. I found out that drug actually costs $2680.00!!! I do count my blessings that I at least have insurance to cover most of it!! I go to get a lab drawn today. For as much money as I've spent on this stuff, it bettter work some magic on my white blood counts and the way I've been feeling! KerriSheena <mom4possums2002 > wrote: I'm sorry, Janet! Holy Canoli, remind me to stop my sniveling! Of course the difference is , you can GET treatment, while with some HMO's you might be fighting a long, long time. Hey, maybe by the time I get it resolved, the new meds will be ready to go.. I loved the thought of possibly clearing in 28 days, wouldn't THAT be something! And shortening the year + to 3 months, WOW! There is a light out there somewhere.. Sheena Janet <doc_jade > wrote: You got it girl Let me show you a for instance. My doctor bills the insurance 138.00 my co-pay at the time is 12.00 Tricare paid my doctor 46.00 = left over and my responsibility 76.00 What the heck do I have insurance for and why

do I pay a co-pay right then and there??? Why can't I wait till they send the rest of the bill? Ok now blood test, Hemoglobin Glycated my doctor billed 48.00 my insurance paid 33.93 my part 14.07 (okay that is not too bad) I can handle that one. And so forth and so forth. Still haven't got the bill for the PCR I bet that one is gonna kick me in the butt. Merry Freakin Christmas Janet. LOL Love JanetSheena <mom4possums2002 > wrote: Oh, Kerri, I do understand, we are not totally "poor", either, but by no means able to afford such drug costs. What

a system.. <sigh> Sheena Kerri Landress <kerrilandress > wrote: Tahnks, Sheena. Unfortuanty we have "too high" of an income to qualify... but who has so much money that they can afford $800+ on medicine, plus copays on labs and dr. visits? I'm lucky in that we do not struggle financially, but I do have two young kids... and am by no means rich!!Sheena <mom4possums2002 > wrote: Kerri, Please try to contact the drug company like Liz suggested, that is just awful what you are going through. It's

okay to vent! I do so loudly, and people DO care about each other here.. I am so sorry, keeping you in my prayers.. Sheena kerrilandress <kerrilandress > wrote: I'm finally getting my neupogen tomorrow, so I'm hoping it will make me feel better. I've been feeling extremely run down and light headed and have had a soar throat and a fever. I've also felt nausious at times. Today, when I looked online on my insurance acct. to make sure the transaction went through, I saw my copay on this drug is 524.00!!! I already pay 230.00 for the pegasys!! I Hate insurance companies and drug companies!!! My insurance only pays 90% of injectable drugs!(10% I have found is still A LOT of

money!!!) I know that I am lucky to have it, but that is ALOT of money... especially at Christmas time. I've already spent a fortune on copays for specialist visits, labs, CT-scans, biopsy, etc... (insurance only covers 80% of that...)This is just very depressing. Sorry if I'm whining, I do realize that there are a lot of people less fortunate than I, and I need to count my blessings that I at least have this opportunity to get better... But, come on!! I have to complain a little!! (I have no one else to vent at!)Kerri Want to start your own business? Learn how on Small Business. Access over 1 million songs - Music Unlimited. Everyone is raving about the all-new beta. Take the ordinary things of life, and make them your own. Do the impossible with a smile Check out the all-new beta - Fire up a more powerful email and get things done faster. __________________________________________________

[Guest guest]

Kerri-

I'm assuming (lousy choice of word! ;-)) that your drug coverage is through Aetna. Do you have access to the Aenta mail order pharmacy? We have Aetna PPO/Open Choice as well through my husband's employer and we live in NY. I just did a 'cost of care' search via the Aenta website ... a 3 month supply of neupogen would cost us $203.67 through the Aenta mail order pharmacy. The ribavarin is no cost to us and the pegasys is $233. I always use the mail order pharmacy since the 30 day supply via retail is the same cost as the 3 month via Aetna. I think that the drug costs must vary state-to-state.

I shudder to think of where we'd be if we didn't have this coverage.

-Laurie

Re: Re: insurance woes

I have medical insurance... but it's still EXPENSIVE!!!!! (the co-pays) They only pay 90% of injectable drugs. Well, 10% of 2000 (thats how much the pegasys costs) is $200. And 10% of $2680 (that'a how much the neupogen costs) is $524. Even if you work, (both me and my husband do) and have insurance (I have Aetna PPO) be prepared to shell out MAJOR money!!!Jackie on <redjaxjm@...> wrote:

Kerri

Even tho you both work, IF YOU HAVE NO MEDICAL insurance, both companies (Scherring and Roche) have programs for those who have no insurance.. now if you do have insurance, they wont help you at all,, SO,, if you have NO insurance, contact them and they will provide your meds for free..

jaxKerri Landress <kerrilandress > wrote:

,

Thanks for the info. But, unfortuantly, I work and so does my husband. We actually make enough money to afford everything, but the prices of drugs... even what the insurance does not pick up is absolutely insane!!! I don't care how much money you have, NO ONE wants to spend the fortune of money I have spent on drugs and co-pays. I'm glad there are assistance programs for people who need them... I have worried about people less fortunate than I.elizabethnv1 <elizabethnv1 > wrote:

Financial Assistance for MedicationsMany drug manufacturers offer patient assistance programs which can greatly decrease or entirely eliminate the costs of many medications. The requirements for program eligibility vary. Some programs may be applied for directly by the patient, other program applications must be intiated by the healthcare provider (physician, pharmacist or agency).Below are a few telephone numbers you can call to ask questions and websites to visit for more information:ProductNameHepatitisTypeParentCompanyContact InformationInfergenHCVInterMune888-696-8036Intron AHBV, HCVScheringCommitment to Care800-521-7157RebetronHCVScheringCommitment to Care800-521-7157PEG-IntronHCVScheringCommitment to Care800-521-7157PEG-Intron / Rebetol HCVScheringCommitment to Care800-521-7157Roferon AHCVRoche877-757-6243, option 4PegasysHCVRochePegassist877-734-2797Pegasys / Copegus HCVRochePegassist877-734-2797Epivir HBVHBV, HDVGlaxoKlineGlaxo WellcomePatient Assistance800-722-9294HepseraHBVGilead800-226-2056To receive a copy of Pharmaceutical Research and Manufacturers of America's Directory of Prescription Drug Patient Assistance Programs, contact 1-800-762-4636.>> I'm finally getting my neupogen tomorrow, so I'm hoping it will make > me feel better. I've been feeling extremely run down and light headed > and have had a soar throat and a fever. I've also felt nausious at > times. Today, when I looked online on my insurance acct. to make sure > the transaction went through, I saw my copay on this drug is 524.00!!! > I already pay 230.00 for the pegasys!! I Hate insurance companies and > drug companies!!! My insurance only pays 90% of injectable drugs!(10% > I have found is still A LOT of money!!!) I know that I am lucky to > have it, but that is ALOT of money... especially at Christmas time. > I've already spent a fortune on copays for specialist visits, labs, CT-> scans, biopsy, etc... (insurance only covers 80% of that...)This is > just very depressing. Sorry if I'm whining, I do realize that there > are a lot of people less fortunate than I, and I need to count my > blessings that I at least have this opportunity to get better... But, > come on!! I have to complain a little!! (I have no one else to vent > at!)> Kerri>

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Hey Laurie. Yeah, I have to use the Aetna Specialty Pharmacy. My Ribivarin Co-pay is only $10 (generic). The copays on the Pegasys and Neupogen are 10%. I got a 28 day supply of the Neuop (21 vials) and I had to pay $524 out of pocket!!! The cost of it through the Aetna Specialty Pharmacy was $2680... I'm probably being ripped off... I HATE insurance companies!! Oh, I live in Florida... they probably rip us off even more here due to a high elderly population.Laurie <bostons@...> wrote: Kerri- I'm assuming (lousy choice of word! ;-)) that your drug coverage is through Aetna. Do you have access to the Aenta mail order pharmacy? We have Aetna PPO/Open Choice as well through my husband's employer and we live in NY. I just did a 'cost of care' search via the Aenta website ... a 3 month supply of neupogen would cost us $203.67 through the Aenta mail order pharmacy. The ribavarin is no cost to us and the pegasys is $233. I always use the mail order pharmacy since the 30 day supply via retail is the same cost as the 3 month via Aetna. I think that the drug costs must vary state-to-state. I shudder to think of where we'd be if we didn't have this coverage. -Laurie Re: Re: insurance woes I have medical insurance... but it's still EXPENSIVE!!!!! (the co-pays) They only pay 90% of injectable drugs. Well, 10% of 2000 (thats how much the pegasys costs) is $200. And 10% of $2680 (that'a how much the neupogen costs) is $524. Even if you work, (both me

and my husband do) and have insurance (I have Aetna PPO) be prepared to shell out MAJOR money!!!Jackie on <redjaxjm > wrote: Kerri Even tho you both work, IF YOU HAVE NO MEDICAL insurance, both companies (Scherring and Roche) have programs for those who have no insurance.. now if you do have insurance, they wont help you at all,, SO,, if you have NO insurance, contact them and they will provide your meds for free.. jaxKerri Landress <kerrilandress > wrote: , Thanks for the info. But, unfortuantly, I work and so does my husband. We actually make enough money to afford everything, but the prices

of drugs... even what the insurance does not pick up is absolutely insane!!! I don't care how much money you have, NO ONE wants to spend the fortune of money I have spent on drugs and co-pays. I'm glad there are assistance programs for people who need them... I have worried about people less fortunate than I.elizabethnv1 <elizabethnv1 > wrote: Financial Assistance for MedicationsMany drug manufacturers offer patient assistance programs which can greatly decrease or entirely eliminate the costs of many medications. The requirements for program eligibility vary. Some programs may be applied for directly by the patient, other program applications must be intiated by the healthcare provider (physician, pharmacist or agency).Below are a few telephone numbers

you can call to ask questions and websites to visit for more information:ProductNameHepatitisTypeParentCompanyContact InformationInfergenHCVInterMune888-696-8036Intron AHBV, HCVScheringCommitment to Care800-521-7157RebetronHCVScheringCommitment to Care800-521-7157PEG-IntronHCVScheringCommitment to Care800-521-7157PEG-Intron / Rebetol HCVScheringCommitment to Care800-521-7157Roferon AHCVRoche877-757-6243, option 4PegasysHCVRochePegassist877-734-2797Pegasys / Copegus HCVRochePegassist877-734-2797Epivir HBVHBV, HDVGlaxoKlineGlaxo WellcomePatient Assistance800-722-9294HepseraHBVGilead800-226-2056To receive a copy of Pharmaceutical Research and Manufacturers of America's Directory of

Prescription Drug Patient Assistance Programs, contact 1-800-762-4636.>> I'm finally getting my neupogen tomorrow, so I'm hoping it will make > me feel better. I've been feeling extremely run down and light headed > and have had a soar throat and a fever. I've also felt nausious at > times. Today, when I looked online on my insurance acct. to make sure > the transaction went through, I saw my copay on this drug is 524.00!!! > I already pay 230.00 for the pegasys!! I Hate insurance companies and > drug companies!!! My insurance only pays 90% of injectable drugs!(10% > I have found is still A LOT of money!!!) I know that I am lucky to > have it, but that is ALOT of money... especially at Christmas

time. > I've already spent a fortune on copays for specialist visits, labs, CT-> scans, biopsy, etc... (insurance only covers 80% of that...)This is > just very depressing. Sorry if I'm whining, I do realize that there > are a lot of people less fortunate than I, and I need to count my > blessings that I at least have this opportunity to get better... But, > come on!! I have to complain a little!! (I have no one else to vent > at!)> Kerri> Cheap Talk? Check out Messenger's low PC-to-Phone call rates. Jackie Check out the all-new beta - Fire up a more powerful email and get things done faster. No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.5.432 / Virus Database: 268.15.15/579 - Release Date: 12/7/2006 1:31 PM

Need a quick answer? Get one in minutes from people who know. Ask your question on

Answers.

[Guest guest]

I'll grant you that my issues with insurance were substantially less costly but,

I fought for and won a Pacer Gait Trainer and a Rustler Tricycle for my son.

They are durable medical equipment. The Gait Trainer was just a little shoving

match but the Tricycle was full on with boxing gloves.

Basically, I kept hammering the insurance company with phone calls, emails,

letters until they relented. Medicaid picked up the balance. Keep an accurate

journal of messages, conversations, copies of letters - everything. I do

remember that the doctor who reviewed my son's case was a geriatric doctor. At

the time my son was 3 yr old, diagnosed with congenital birth defects affecting

his brain, unable to stand or walk on his own, unable to feed himself, etc. I

used the insurance doctor's specialty to my advantage... how on earth could a

doctor who specialized in old people know anything about a baby? I had a letter

from the pediatrician and I think his therapists. Those types of letters will

help you.

I was so frustrated that I hired an attorney and that wound up costing me

retainer and hourly money unneccesarily. Not that they wouldn't have done

anything but insurance caved in within a couple of weeks of hiring them - before

any letters were written or phone calls were made by them on my behalf.

Good Luck!

Too bad Marvin's not still around to take on the insurance company.

wrote:

Hi,

My son has become increasingly aggressive toward himself and others.

In response to this, his psycologist and I have decided that creating

a " safe " room where he can go and " crash " is the best thing we can do

for him. (If anyone has ever had to do this, I WOULD LOVE TO HEAR

FROM YOU.)He loves to swing, so his OT suggested putting in a swing as

well. We have Tricare and He has Medicaid so I was hoping that they

might help cover the cost of the Pads for the walls and the floors

under durable medical equipment because the purpose of them is

to " sustain health " . I've contacted medicaid and they said to file a

title 19, The problem I'm having is that his primary providers don't

know how to file or what a title 19 is. They asked me for the paper

work??? Which basically means it will be denied because it won't be

done right, like everything I've ever tried to get insurance to help

with. I've been trying to educate myself on this subject, but

insurance has so many hoops....If anyone out there has experience with

something like this...please help!

Jen

[Guest guest]

I'll grant you that my issues with insurance were substantially less costly but,

I fought for and won a Pacer Gait Trainer and a Rustler Tricycle for my son.

They are durable medical equipment. The Gait Trainer was just a little shoving

match but the Tricycle was full on with boxing gloves.

Basically, I kept hammering the insurance company with phone calls, emails,

letters until they relented. Medicaid picked up the balance. Keep an accurate

journal of messages, conversations, copies of letters - everything. I do

remember that the doctor who reviewed my son's case was a geriatric doctor. At

the time my son was 3 yr old, diagnosed with congenital birth defects affecting

his brain, unable to stand or walk on his own, unable to feed himself, etc. I

used the insurance doctor's specialty to my advantage... how on earth could a

doctor who specialized in old people know anything about a baby? I had a letter

from the pediatrician and I think his therapists. Those types of letters will

help you.

I was so frustrated that I hired an attorney and that wound up costing me

retainer and hourly money unneccesarily. Not that they wouldn't have done

anything but insurance caved in within a couple of weeks of hiring them - before

any letters were written or phone calls were made by them on my behalf.

Good Luck!

Too bad Marvin's not still around to take on the insurance company.

wrote:

Hi,

My son has become increasingly aggressive toward himself and others.

In response to this, his psycologist and I have decided that creating

a " safe " room where he can go and " crash " is the best thing we can do

for him. (If anyone has ever had to do this, I WOULD LOVE TO HEAR

FROM YOU.)He loves to swing, so his OT suggested putting in a swing as

well. We have Tricare and He has Medicaid so I was hoping that they

might help cover the cost of the Pads for the walls and the floors

under durable medical equipment because the purpose of them is

to " sustain health " . I've contacted medicaid and they said to file a

title 19, The problem I'm having is that his primary providers don't

know how to file or what a title 19 is. They asked me for the paper

work??? Which basically means it will be denied because it won't be

done right, like everything I've ever tried to get insurance to help

with. I've been trying to educate myself on this subject, but

insurance has so many hoops....If anyone out there has experience with

something like this...please help!

Jen

[Guest guest]

I'll grant you that my issues with insurance were substantially less costly but,

I fought for and won a Pacer Gait Trainer and a Rustler Tricycle for my son.

They are durable medical equipment. The Gait Trainer was just a little shoving

match but the Tricycle was full on with boxing gloves.

Basically, I kept hammering the insurance company with phone calls, emails,

letters until they relented. Medicaid picked up the balance. Keep an accurate

journal of messages, conversations, copies of letters - everything. I do

remember that the doctor who reviewed my son's case was a geriatric doctor. At

the time my son was 3 yr old, diagnosed with congenital birth defects affecting

his brain, unable to stand or walk on his own, unable to feed himself, etc. I

used the insurance doctor's specialty to my advantage... how on earth could a

doctor who specialized in old people know anything about a baby? I had a letter

from the pediatrician and I think his therapists. Those types of letters will

help you.

I was so frustrated that I hired an attorney and that wound up costing me

retainer and hourly money unneccesarily. Not that they wouldn't have done

anything but insurance caved in within a couple of weeks of hiring them - before

any letters were written or phone calls were made by them on my behalf.

Good Luck!

Too bad Marvin's not still around to take on the insurance company.

wrote:

Hi,

My son has become increasingly aggressive toward himself and others.

In response to this, his psycologist and I have decided that creating

a " safe " room where he can go and " crash " is the best thing we can do

for him. (If anyone has ever had to do this, I WOULD LOVE TO HEAR

FROM YOU.)He loves to swing, so his OT suggested putting in a swing as

well. We have Tricare and He has Medicaid so I was hoping that they

might help cover the cost of the Pads for the walls and the floors

under durable medical equipment because the purpose of them is

to " sustain health " . I've contacted medicaid and they said to file a

title 19, The problem I'm having is that his primary providers don't

know how to file or what a title 19 is. They asked me for the paper

work??? Which basically means it will be denied because it won't be

done right, like everything I've ever tried to get insurance to help

with. I've been trying to educate myself on this subject, but

insurance has so many hoops....If anyone out there has experience with

something like this...please help!

Jen

[Guest guest]

Well, in my experience with my son and from stories with others, increasing

aggresssion usually results from

a) physical pain

seasonal allergies

Of course psychologists don't get this because most of them don't have a

#$%^ & *() clue about physical symptoms that go along with autism. Have you

ever had him check out for allergies? Have you noticed if he's got

consitpation?

Could he be having really bad reflux (like so bad he's got holes in his

esophagous)?

Could he be having headaches? Could he have teeth coming in (my son would

get very aggressive in the 2 - 3 weeks before he lost a tooth or got a

replacement

tooth).

Personally, I would really urge you to try and rule out physical ailments

first

before giving him a crash room.

Also, the Texas Health Steps portion of Medicaid is the one that deals with

special needs and should be able to help you get the paper work you need.

Just my .02 cents.

Insurance woes

Hi,

My son has become increasingly aggressive toward himself and others.

In response to this, his psycologist and I have decided that creating

a " safe " room where he can go and " crash " is the best thing we can do

for him. (If anyone has ever had to do this, I WOULD LOVE TO HEAR

FROM YOU.)He loves to swing, so his OT suggested putting in a swing as

well. We have Tricare and He has Medicaid so I was hoping that they

might help cover the cost of the Pads for the walls and the floors

under durable medical equipment because the purpose of them is

to " sustain health " . I've contacted medicaid and they said to file a

title 19, The problem I'm having is that his primary providers don't

know how to file or what a title 19 is. They asked me for the paper

work??? Which basically means it will be denied because it won't be

done right, like everything I've ever tried to get insurance to help

with. I've been trying to educate myself on this subject, but

insurance has so many hoops....If anyone out there has experience with

something like this...please help!

Jen

[Guest guest]

I agree with you cause my son's will get

aggresive when their theeth were coming out or when

they had their allergy season around spring.

I always pay attention also when their belly is all

full of gas, that can really make them agressive and

cranky.

Sometimes is a mosquito bite they can't scratch cause

they don't know whre the itch is coming from.

There are several physical thinkgs that goes on for

agressive behavior.

The 3 of the boy's get all of that (extra stuff that

comes along with Autism.

--- Singleton

wrote:

> Well, in my experience with my son and from stories

> with others, increasing

> aggresssion usually results from

> a) physical pain

> seasonal allergies

>

> Of course psychologists don't get this because most

> of them don't have a

> #$%^ & *() clue about physical symptoms that go along

> with autism. Have you

> ever had him check out for allergies? Have you

> noticed if he's got

> consitpation?

> Could he be having really bad reflux (like so bad

> he's got holes in his

> esophagous)?

> Could he be having headaches? Could he have teeth

> coming in (my son would

> get very aggressive in the 2 - 3 weeks before he

> lost a tooth or got a

> replacement

> tooth).

>

> Personally, I would really urge you to try and rule

> out physical ailments

> first

> before giving him a crash room.

>

> Also, the Texas Health Steps portion of Medicaid is

> the one that deals with

> special needs and should be able to help you get the

> paper work you need.

>

> Just my .02 cents.

>

> Insurance woes

>

>

> Hi,

> My son has become increasingly aggressive toward

> himself and others.

> In response to this, his psycologist and I have

> decided that creating

> a " safe " room where he can go and " crash " is the

> best thing we can do

> for him. (If anyone has ever had to do this, I

> WOULD LOVE TO HEAR

> FROM YOU.)He loves to swing, so his OT suggested

> putting in a swing as

> well. We have Tricare and He has Medicaid so I was

> hoping that they

> might help cover the cost of the Pads for the

> walls and the floors

> under durable medical equipment because the

> purpose of them is

> to " sustain health " . I've contacted medicaid and

> they said to file a

> title 19, The problem I'm having is that his

> primary providers don't

> know how to file or what a title 19 is. They asked

> me for the paper

> work??? Which basically means it will be denied

> because it won't be

> done right, like everything I've ever tried to get

> insurance to help

> with. I've been trying to educate myself on this

> subject, but

> insurance has so many hoops....If anyone out there

> has experience with

> something like this...please help!

> Jen

>

>

>

>

>

>

> [Non-text portions of this message have been

> removed]

>

>

________________________________________________________________________________\

____

Be a better Globetrotter. Get better travel answers from someone who knows.

Yahoo! Answers - Check it out.

http://answers.yahoo.com/dir/?link=list & sid=396545469

[Guest guest]

I agree with you cause my son's will get

aggresive when their theeth were coming out or when

they had their allergy season around spring.

I always pay attention also when their belly is all

full of gas, that can really make them agressive and

cranky.

Sometimes is a mosquito bite they can't scratch cause

they don't know whre the itch is coming from.

There are several physical thinkgs that goes on for

agressive behavior.

The 3 of the boy's get all of that (extra stuff that

comes along with Autism.

--- Singleton

wrote:

> Well, in my experience with my son and from stories

> with others, increasing

> aggresssion usually results from

> a) physical pain

> seasonal allergies

>

> Of course psychologists don't get this because most

> of them don't have a

> #$%^ & *() clue about physical symptoms that go along

> with autism. Have you

> ever had him check out for allergies? Have you

> noticed if he's got

> consitpation?

> Could he be having really bad reflux (like so bad

> he's got holes in his

> esophagous)?

> Could he be having headaches? Could he have teeth

> coming in (my son would

> get very aggressive in the 2 - 3 weeks before he

> lost a tooth or got a

> replacement

> tooth).

>

> Personally, I would really urge you to try and rule

> out physical ailments

> first

> before giving him a crash room.

>

> Also, the Texas Health Steps portion of Medicaid is

> the one that deals with

> special needs and should be able to help you get the

> paper work you need.

>

> Just my .02 cents.

>

> Insurance woes

>

>

> Hi,

> My son has become increasingly aggressive toward

> himself and others.

> In response to this, his psycologist and I have

> decided that creating

> a " safe " room where he can go and " crash " is the

> best thing we can do

> for him. (If anyone has ever had to do this, I

> WOULD LOVE TO HEAR

> FROM YOU.)He loves to swing, so his OT suggested

> putting in a swing as

> well. We have Tricare and He has Medicaid so I was

> hoping that they

> might help cover the cost of the Pads for the

> walls and the floors

> under durable medical equipment because the

> purpose of them is

> to " sustain health " . I've contacted medicaid and

> they said to file a

> title 19, The problem I'm having is that his

> primary providers don't

> know how to file or what a title 19 is. They asked

> me for the paper

> work??? Which basically means it will be denied

> because it won't be

> done right, like everything I've ever tried to get

> insurance to help

> with. I've been trying to educate myself on this

> subject, but

> insurance has so many hoops....If anyone out there

> has experience with

> something like this...please help!

> Jen

>

>

>

>

>

>

> [Non-text portions of this message have been

> removed]

>

>

________________________________________________________________________________\

____

Yahoo! oneSearch: Finally, mobile search

that gives answers, not web links.

http://mobile.yahoo.com/mobileweb/onesearch?refer=1ONXIC

[Guest guest]

Hello Jen

I am sorry to hear that you are going trough this.

When my middle son (5 years) will get violent or agressive, he will

automatically

go in to this small closet that I have , that is full of blankets and relax in

there.

It took me about a year to realize that , it was the safest place so we sort

of let him do it

and at

the same time I will encourage him . by pretending everything else and everyone

else

outside the closet were having a blast, and one day he just came out and enjoy

the party.

Also sometimes self regulation and ice pops or ice cubes even a cold bath will

help him a

lot ( soothing)

Also we got a little car bed ( so the closet thing was out of his mind) and put

tones or stuff

animals and pillows, then he will put a huge blanket on top and that became the

" new

closet)

He still has his times, when we are out and he is trying to process information

in wich he

may feel like running and fly off a window but I notice that body pressure will

help a lot,

tickle monster never fells either, start tickle him and ony use it for " that "

only time.

My oldest ( 6) W hen he gets agressive is out of frustration or pain, so I gave

him a " key

word "

Doctor means " pain " time alone means undr a dark blanket or in my room where

there is

almost no sun.

That calms him down or magazines, usually " frustration becomes an issue when

just do

not fully understand what is going on " sort of he is confuse.

Also counting, I start counting and the agression just diminish.

The little one ( 3)

He calms down by grabbing this hairy ball ( is weird) but it just helps

Bubbles, backpacks full of stuff animals, blankets or pillows help a lot too.

The agression always come out of something bothering them even to the must

severe

autistic kids ( I have one that is severe autistic.

So you may want to figure out if is tacticle, vision, smell is all sensory

related ( must of

the times)

Good luck and hope this helps.

Feel free to e -mail me for book names or other related self agression things.

>

> Hi,

> My son has become increasingly aggressive toward himself and others.

> In response to this, his psycologist and I have decided that creating

> a " safe " room where he can go and " crash " is the best thing we can do

> for him. (If anyone has ever had to do this, I WOULD LOVE TO HEAR

> FROM YOU.)He loves to swing, so his OT suggested putting in a swing as

> well. We have Tricare and He has Medicaid so I was hoping that they

> might help cover the cost of the Pads for the walls and the floors

> under durable medical equipment because the purpose of them is

> to " sustain health " . I've contacted medicaid and they said to file a

> title 19, The problem I'm having is that his primary providers don't

> know how to file or what a title 19 is. They asked me for the paper

> work??? Which basically means it will be denied because it won't be

> done right, like everything I've ever tried to get insurance to help

> with. I've been trying to educate myself on this subject, but

> insurance has so many hoops....If anyone out there has experience with

> something like this...please help!

> Jen

>

[Guest guest]

and speaking of that--we just had a really rough week with him--

lots of hitting & kicking and lack of impulse control--

and today, he came to me asking to help him pull out his tooth.

I sent him to his dad, who took one tooth out and the one next to

it fell out! I should have know. My son is 9 and is in the process

of losing his side molars. He's really verbal & on track academically,

but he can't always articulate when there is something going on with

him.

Insurance woes

>

>

> Hi,

> My son has become increasingly aggressive toward

> himself and others.

> In response to this, his psycologist and I have

> decided that creating

> a " safe " room where he can go and " crash " is the

> best thing we can do

> for him. (If anyone has ever had to do this, I

> WOULD LOVE TO HEAR

> FROM YOU.)He loves to swing, so his OT suggested

> putting in a swing as

> well. We have Tricare and He has Medicaid so I was

> hoping that they

> might help cover the cost of the Pads for the

> walls and the floors

> under durable medical equipment because the

> purpose of them is

> to " sustain health " . I've contacted medicaid and

> they said to file a

> title 19, The problem I'm having is that his

> primary providers don't

> know how to file or what a title 19 is. They asked

> me for the paper

> work??? Which basically means it will be denied

> because it won't be

> done right, like everything I've ever tried to get

> insurance to help

> with. I've been trying to educate myself on this

> subject, but

> insurance has so many hoops....If anyone out there

> has experience with

> something like this...please help!

> Jen

>

>

>

>

>

>

> [Non-text portions of this message have been

> removed]

>

>

__________________________________________________________

Yahoo! oneSearch: Finally, mobile search

that gives answers, not web links.

http://mobile.yahoo.com/mobileweb/onesearch?refer=1ONXIC

[Guest guest]

and speaking of that--we just had a really rough week with him--

lots of hitting & kicking and lack of impulse control--

and today, he came to me asking to help him pull out his tooth.

I sent him to his dad, who took one tooth out and the one next to

it fell out! I should have know. My son is 9 and is in the process

of losing his side molars. He's really verbal & on track academically,

but he can't always articulate when there is something going on with

him.

Insurance woes

>

>

> Hi,

> My son has become increasingly aggressive toward

> himself and others.

> In response to this, his psycologist and I have

> decided that creating

> a " safe " room where he can go and " crash " is the

> best thing we can do

> for him. (If anyone has ever had to do this, I

> WOULD LOVE TO HEAR

> FROM YOU.)He loves to swing, so his OT suggested

> putting in a swing as

> well. We have Tricare and He has Medicaid so I was

> hoping that they

> might help cover the cost of the Pads for the

> walls and the floors

> under durable medical equipment because the

> purpose of them is

> to " sustain health " . I've contacted medicaid and

> they said to file a

> title 19, The problem I'm having is that his

> primary providers don't

> know how to file or what a title 19 is. They asked

> me for the paper

> work??? Which basically means it will be denied

> because it won't be

> done right, like everything I've ever tried to get

> insurance to help

> with. I've been trying to educate myself on this

> subject, but

> insurance has so many hoops....If anyone out there

> has experience with

> something like this...please help!

> Jen

>

>

>

>

>

>

> [Non-text portions of this message have been

> removed]

>

>

__________________________________________________________

Yahoo! oneSearch: Finally, mobile search

that gives answers, not web links.

http://mobile.yahoo.com/mobileweb/onesearch?refer=1ONXIC

[Guest guest]

My son gets very irritable and short fused when he has allergies and

sinus problems. Over the counter meds like Benadryl, Claritin and

any antihistamines drive him up the wall literally. He gets very

hyper and aggressive (the only time in his life he ever shoved me was

after taking a Claritin pill) needless to say he never got another

one.

I think you are right on target , pain and allergies and

allergy meds can cause aggression.

Nagla

>

> > Well, in my experience with my son and from stories

> > with others, increasing

> > aggresssion usually results from

> > a) physical pain

> > seasonal allergies

> >

> > Of course psychologists don't get this because most

> > of them don't have a

> > #$%^ & *() clue about physical symptoms that go along

> > with autism. Have you

> > ever had him check out for allergies? Have you

> > noticed if he's got

> > consitpation?

> > Could he be having really bad reflux (like so bad

> > he's got holes in his

> > esophagous)?

> > Could he be having headaches? Could he have teeth

> > coming in (my son would

> > get very aggressive in the 2 - 3 weeks before he

> > lost a tooth or got a

> > replacement

> > tooth).

> >

> > Personally, I would really urge you to try and rule

> > out physical ailments

> > first

> > before giving him a crash room.

> >

> > Also, the Texas Health Steps portion of Medicaid is

> > the one that deals with

> > special needs and should be able to help you get the

> > paper work you need.

> >

> > Just my .02 cents.

> >

> > Insurance woes

> >

> >

> > Hi,

> > My son has become increasingly aggressive toward

> > himself and others.

> > In response to this, his psycologist and I have

> > decided that creating

> > a " safe " room where he can go and " crash " is the

> > best thing we can do

> > for him. (If anyone has ever had to do this, I

> > WOULD LOVE TO HEAR

> > FROM YOU.)He loves to swing, so his OT suggested

> > putting in a swing as

> > well. We have Tricare and He has Medicaid so I was

> > hoping that they

> > might help cover the cost of the Pads for the

> > walls and the floors

> > under durable medical equipment because the

> > purpose of them is

> > to " sustain health " . I've contacted medicaid and

> > they said to file a

> > title 19, The problem I'm having is that his

> > primary providers don't

> > know how to file or what a title 19 is. They asked

> > me for the paper

> > work??? Which basically means it will be denied

> > because it won't be

> > done right, like everything I've ever tried to get

> > insurance to help

> > with. I've been trying to educate myself on this

> > subject, but

> > insurance has so many hoops....If anyone out there

> > has experience with

> > something like this...please help!

> > Jen

> >

> >

> >

> >

> >

> >

> > [Non-text portions of this message have been

> > removed]

> >

> >

>

>

>

>

>

______________________________________________________________________

______________

> Yahoo! oneSearch: Finally, mobile search

> that gives answers, not web links.

> http://mobile.yahoo.com/mobileweb/onesearch?refer=1ONXIC

>

[Guest guest]

My son gets very irritable and short fused when he has allergies and

sinus problems. Over the counter meds like Benadryl, Claritin and

any antihistamines drive him up the wall literally. He gets very

hyper and aggressive (the only time in his life he ever shoved me was

after taking a Claritin pill) needless to say he never got another

one.

I think you are right on target , pain and allergies and

allergy meds can cause aggression.

Nagla

>

> > Well, in my experience with my son and from stories

> > with others, increasing

> > aggresssion usually results from

> > a) physical pain

> > seasonal allergies

> >

> > Of course psychologists don't get this because most

> > of them don't have a

> > #$%^ & *() clue about physical symptoms that go along

> > with autism. Have you

> > ever had him check out for allergies? Have you

> > noticed if he's got

> > consitpation?

> > Could he be having really bad reflux (like so bad

> > he's got holes in his

> > esophagous)?

> > Could he be having headaches? Could he have teeth

> > coming in (my son would

> > get very aggressive in the 2 - 3 weeks before he

> > lost a tooth or got a

> > replacement

> > tooth).

> >

> > Personally, I would really urge you to try and rule

> > out physical ailments

> > first

> > before giving him a crash room.

> >

> > Also, the Texas Health Steps portion of Medicaid is

> > the one that deals with

> > special needs and should be able to help you get the

> > paper work you need.

> >

> > Just my .02 cents.

> >

> > Insurance woes

> >

> >

> > Hi,

> > My son has become increasingly aggressive toward

> > himself and others.

> > In response to this, his psycologist and I have

> > decided that creating

> > a " safe " room where he can go and " crash " is the

> > best thing we can do

> > for him. (If anyone has ever had to do this, I

> > WOULD LOVE TO HEAR

> > FROM YOU.)He loves to swing, so his OT suggested

> > putting in a swing as

> > well. We have Tricare and He has Medicaid so I was

> > hoping that they

> > might help cover the cost of the Pads for the

> > walls and the floors

> > under durable medical equipment because the

> > purpose of them is

> > to " sustain health " . I've contacted medicaid and

> > they said to file a

> > title 19, The problem I'm having is that his

> > primary providers don't

> > know how to file or what a title 19 is. They asked

> > me for the paper

> > work??? Which basically means it will be denied

> > because it won't be

> > done right, like everything I've ever tried to get

> > insurance to help

> > with. I've been trying to educate myself on this

> > subject, but

> > insurance has so many hoops....If anyone out there

> > has experience with

> > something like this...please help!

> > Jen

> >

> >

> >

> >

> >

> >

> > [Non-text portions of this message have been

> > removed]

> >

> >

>

>

>

>

>

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[Guest guest]

My daughter got a g-tube in April 08.  The insurance company was paying for the

Ensure that was prescribed by her doctor for feedings.  A few months ago, I got

a call from the vendor saying that insurance had been paying sporadically and

now informed them that they should not have been paying at all and will attempt

to get back the money that they had all ready paid claims on.  I am going to try

to appeal but am kind of lost in the whole process.  I did get a letter of

medical necessity from our doctor and I wrote a letter but I feel like I need

more than that.  Anyone have ideas about who to go to for help?  We live in NJ

but our insurance goes through NY where my husband works.

[Guest guest]

When I had insurance issues, I found out that my insurance company has " complex

case managers " .  I spoke to one on the phone a couple of times and she made an

appeal on my behalf and got everything sorted out for me ($14,000 for a new

wheelchair). 

Insurance woes

 

My daughter got a g-tube in April 08.  The insurance company was paying for the

Ensure that was prescribed by her doctor for feedings.  A few months ago, I got

a call from the vendor saying that insurance had been paying sporadically and

now informed them that they should not have been paying at all and will attempt

to get back the money that they had all ready paid claims on.  I am going to

try to appeal but am kind of lost in the whole process.  I did get a letter of

medical necessity from our doctor and I wrote a letter but I feel like I need

more than that.  Anyone have ideas about who to go to for help?  We live in NJ

but our insurance goes through NY where my husband works.