Re: Re: Vaccines

[Guest guest]

All three -- it depends on the patient. I've just received my Medicaid number this week, so I will be billing Colorado Medicaid. Aetna and United appear to be considering me. And then I have several families with high-deductible HSA plans or no insurance at all who will pay out of pocket.

My confusion lies in the many combination vaccines. For the normal infant, which combinations have you found both cost-effective and useful to reduce the number of injections given to the child? And do you know which ones are Medicaid approved?

Thanks for any input!

Deanna

so do you charge insurance? or pts pay out of pocket for them and submit their own claim?grace>> First of all, I don't "stock" my refrigerator with all vaccinations. It > never takes more than about 48 hours to get a vaccine so I wait until I have > the patient. I've been at this location for 5 yrs now, and some of the > vaccines are required to be purchased in multi dose quantities so, of course, I > have lots of vaccines in the fridge. I have all ages, but really not so > many babies, lots of adolescents. I always keep one varivax in the freezer, > usually have gardisil and menactra and adacel (or boostrix if it is cheaper). > For the little ones I usually use pediarix and separate hib. Also often > have hep b for adults but can get it in 24 hrs so if it runs out, I wait for > someone to call me and say they need it and then I order it. Same thing > with Zostavax. Right now I have several different flu vaccinations and while I > plan really carefully with what ages and formulations, it is really just a > guess every year. Oh, I just had to order prevnar 13 for a baby I have > and had to order 5, but turned out that I used all of them doing pre day care > physicals this fall. > Hope this helps, Kris> > > > > > > > Dear group members,> > Those of you who do a lot of pediatrics, could you help me sort out this > nightmare of competing vaccines? Could you tell me what you buy and when > you give it? I can see the schedule, I can see the vaccines available from > multiple manufacturers, but what do you find both cost-effective and > reasonable in terms of the number of injections? If you could please just give me > your list of what you purchase and the ages of children for whom you use > these many different single and combination vaccines, it would sure be > helpful. I'm going to be spending a lot of money to stock my refrigerator -- > and I want to do it the by the "best practice" method of those with > experience in this purchasing.> > Thanks,> > Deanna Tolman, FNP> Head2Toe HealthCare> Aurora, CO>