Re: In support of DAN docs

[Guest guest]

I wanted to add one thing to the discussion. It is near impossible to

get a private insurance plan for an autistic child. Autism is

considered a preexisting condition and they are denied coverage on

that ground. I know this first hand because blue cross made us

exclude our daughter in order to grant the rest of the family

insurance coverage. It was really upsetting and she was without

insurance for a year until Illinois came up with the AllKids plan

which covers any child without medical insurance regardless of

condition or income level.

Or you

> could buy a PPO insurance plan for the child for a couple hundred

per month.

[Guest guest]

I disagree. It is not impossible and in fact, it is the law in many states that

have parents

who will put in the hard work and hours to change the law. Out of total

frustration I will

say this again: WE DO NOT TREAT AUTISM WHEN DEALING WITH INSURANCE!!!!

We can treat our kids health problems using many biomedical interventions

that are covered and most the Defeat Autism Now doctors can accept insurance

for, but

choose not to. Sorry if many do not have the stomach to accept the facts such as

the

extended office visit, immunology, GI and labs for which the Dr. takes your

insurance card

and processes the claims! DAN deserves plenty credit for some of the treatments

that

help these kids. It doesn't mean a intellectually honest debate on this issue

is not

desperately needed at the upcoming DAN conference and parents will have to

collaboratively lead the way to getting ALL these kids treatment.

>

> I wanted to add one thing to the discussion. It is near impossible to

> get a private insurance plan for an autistic child. Autism is

> considered a preexisting condition and they are denied coverage on

> that ground. I know this first hand because blue cross made us

> exclude our daughter in order to grant the rest of the family

> insurance coverage. It was really upsetting and she was without

> insurance for a year until Illinois came up with the AllKids plan

> which covers any child without medical insurance regardless of

> condition or income level.

>

>

> Or you

> > could buy a PPO insurance plan for the child for a couple hundred

> per month.

>

[Guest guest]

Freels is still having one heck of a time with Georgia Medicaid so not so fast.KP Stoller, MDPresident, International Hyperbaric Medical AssocMedical Director, Hyperbaric Medical Center of New Mexicowww.hbotnm.com-- Maurine Meleck <maurine_meleck@...> wrote:

Dr. Stoller,

Georgia medicaid now covers HBOT. Unfortunately, we moved from Atlanta back to SC and it does not cover it, to my knowledge, anyway.

maurine"KP Stoller, MD" <hbotnmnetzero (DOT) net> wrote:

On Thursday I testify in front of an Administrative Law Judge in Sacramento in a case of a young girl with CP v ALTA. If we win this case against ALTA for using HBOT to treat CP and I think we will. Autism is next!KP Stoller, MDPresident, International Hyperbaric Medical AssocMedical Director, Hyperbaric Medical Center of New Mexicowww.hbotnm.com-- "alisa" <alisarandiearthlink (DOT) net> wrote:

NEVER! The Regional Center and school district tremble when I walk in the room. And now I am calling a new IEP to stop services that we no longer need. They are shocked. I told them that others need my son’s hours and he doesn’t anymore. Now they are saying ARE YOU SURE? And boy am I. After 46 hours per week of service he only needs OT. He really is recovered! Keep in mind that I was originally told her would be institutionalized. They only thing close was the UCLA ECPHP, the same as speaks of in her book.

Alisa

From: EOHarm [mailto:EOHarm ] On Behalf Of Alison Sent: Saturday, September 29, 2007 8:30 AMeoharm Subject: RE: Re: In support of DAN docs

Now this is valuable information I can actually use (or try)! Thank you, thank you, Alisa. Do any of you ever fear if you keep publicly talking about this kind of stuff your kid(s) services will get pulled? A little paranoid here.

EOHarm From: alisarandiearthlink (DOT) netDate: Sat, 29 Sep 2007 08:21:40 -0700Subject: RE: Re: In support of DAN docs

Becky,

My Medical savings account did pay for bio meds after I got the doc to put is on a prescription. She stated that this was in lieu of pharmaceuticals which will cause adverse side effects in my son. They cover it now with no problem. I had it cover his Cod liver oil, omega 3, coQ10, zinc, Juice Plus antioxidant vitamins.

Alisa

From: EOHarm [mailto:EOHarm ] On Behalf Of Becky Grant-WidenSent: Friday, September 28, 2007 4:18 AMEOHarm Subject: RE: Re: In support of DAN docs

Hi Debi-

Do Medical Savings accounts pay for supplements too? We are switching over to this type of plan in December, it will save us $450 a month in premiums, but I don’t know much about it? Would you mind giving a run down of the typical biomed things that you have used MSA to pay for? I’m not sure how much per month we should try to contribute.

Thanks- Becky

-----Original Message-----From: EOHarm [mailto:EOHarm ] On Behalf Of DebiSent: Friday, September 28, 2007 12:29 AMEOHarm Subject: Re: In support of DAN docs

Your ped is lucky, our's only collects $40/visit. The average overheadcan be $300-500, so that's 8 kids/hr minimum, or 7.5 minutes. I thinkour state's TNcare pays like $20/visit. No way can a DAN see a newpatient in that length of time, or many times in follow-up.I think one thing that would help would be to get nurses trained to domore of the intake (future nurse here), but I can also see why apractitioner would want to ensure he/she knows everything he/she wantsto ensure proper delivery of care.If more nurses, and many offices only have medical assistants, wereDAN-savvy, they could do much of the explanations about how to startdiets, how to give the supps, etc. But again, that also requires a bigstep of trust between practitioner & nurse. And many of us, aftertraveling hrs, want to see the doctor, not support staff.I read medscape talking about changing billing from per visit to prorated according to minutes spent. That way the doctor is not penalizedfor spending time with the patient. If doctors would use their cloutto get behind these sorts of insurance changes, we'd all be betteroff, as well as if more of us went to medical savings plans, where wecontrol our own money, not the company profiting off us, and believeme, they do profit or they wouldn't be in business. With medicalsavings I can pay any DAN! when the funds are in there, I'm themanager of my own funds.Debi

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[Guest guest]

well see there ya go. I am not surprised tho. We never got to try it cause we moved back to SC. To even get someone from medicaid to talk on the phone to you is a day's effort."KP Stoller, MD" <hbotnm@...> wrote: Freels is still having one heck of a time with Georgia Medicaid so not so fast.KP Stoller, MDPresident, International Hyperbaric Medical AssocMedical Director, Hyperbaric Medical Center of New Mexicowww.hbotnm.com-- Maurine Meleck <maurine_meleck >

wrote: Dr. Stoller, Georgia medicaid now covers HBOT. Unfortunately, we moved from Atlanta back to SC and it does not cover it, to my knowledge, anyway. maurine"KP Stoller, MD" <hbotnmnetzero (DOT) net> wrote: On Thursday I testify in front of an Administrative Law Judge in Sacramento in a case of a young girl with CP v ALTA. If we win this case against ALTA for using HBOT to treat CP and I think we will. Autism is next!KP Stoller, MDPresident, International Hyperbaric Medical AssocMedical Director, Hyperbaric Medical Center of New Mexicowww.hbotnm.com-- "alisa" <alisarandiearthlink (DOT) net> wrote: NEVER! The Regional Center and school district tremble when I walk in the room. And now I am calling a new IEP to stop services that we no longer need. They are shocked. I told them that others need my son’s hours and he doesn’t anymore. Now they are saying ARE YOU SURE? And boy am I. After 46 hours per week of service he only needs OT. He really is recovered! Keep in mind that I was originally told her would be institutionalized. They only thing close was the UCLA ECPHP, the same as speaks of in her book. Alisa From: EOHarm [mailto:EOHarm ] On Behalf Of Alison Sent: Saturday, September 29, 2007 8:30 AMeoharm Subject: RE: Re: In support of DAN docs Now this is valuable information I can actually use (or try)! Thank you, thank you, Alisa. Do any of you ever fear if you keep publicly talking about this kind of stuff your kid(s) services will get pulled? A little paranoid here. EOHarm From: alisarandiearthlink (DOT) netDate: Sat, 29 Sep 2007 08:21:40 -0700Subject: RE: Re: In support of DAN docs Becky, My Medical savings account did pay for bio meds after I got the doc to put is on a prescription. She stated that this was in lieu of pharmaceuticals which will cause adverse side effects in my son. They cover it now with no problem. I had it cover his Cod liver oil, omega 3, coQ10, zinc, Juice Plus antioxidant vitamins. Alisa From: EOHarm [mailto:EOHarm ] On Behalf Of Becky Grant-WidenSent: Friday, September 28, 2007 4:18 AMEOHarm Subject: RE: Re: In support of DAN docs Hi Debi- Do Medical Savings accounts pay for supplements too? We are switching over to this type of plan in December, it will save us $450 a month in premiums, but I don’t know much about it? Would you mind giving a run down of the typical biomed things that you have used MSA to pay for? I’m not sure how much per month we should try to contribute. Thanks- Becky -----Original Message-----From: EOHarm [mailto:EOHarm ] On Behalf Of DebiSent: Friday, September 28, 2007 12:29 AMEOHarm Subject: Re: In support of DAN docs Your ped is lucky, our's only collects $40/visit. The average overheadcan be $300-500, so that's 8 kids/hr minimum, or 7.5 minutes. I thinkour state's TNcare pays like $20/visit. No way can a DAN see a newpatient in that length of time, or many times in follow-up.I think one thing that would help would be to get nurses trained to domore of the intake (future nurse here), but I can also see why apractitioner would want to ensure he/she knows everything he/she wantsto ensure proper delivery of care.If more nurses, and many offices only have medical assistants, wereDAN-savvy, they could do much of the explanations about how to startdiets, how to give the supps, etc. But again, that also requires a bigstep of trust between practitioner & nurse. And many of us, aftertraveling hrs, want to see the doctor, not support

staff.I read medscape talking about changing billing from per visit to prorated according to minutes spent. That way the doctor is not penalizedfor spending time with the patient. If doctors would use their cloutto get behind these sorts of insurance changes, we'd all be betteroff, as well as if more of us went to medical savings plans, where wecontrol our own money, not the company profiting off us, and believeme, they do profit or they wouldn't be in business. With medicalsavings I can pay any DAN! when the funds are in there, I'm themanager of my own funds.Debi Explore the seven wonders of the world Learn more! _____________________________________________________________Prepaid AT & T Cell PhonesFree Airtime, Shipping & Activation! No Commitments or Credit Check. Be a better Heartthrob. Get better relationship answers from someone who knows. Answers - Check it out. _____________________________________________________________AT & T Prepaid Cell Phones$10 Free Airtime w/Sign Up! No Commitments or Credit Check.

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