Need Help Insurance Letter

Lymie Lou

Regular Member

Joined : Feb 2014

Posts : 24

Posted 11/17/2014 1:47 AM (GMT 0)

Hi Everyone--

I need to write a letter to my insurance company appealing the denial for Bicillin Injections. They asked me to include any studies or articles as back up and I am coming up with nada. Anyone fought this battle? Can anyone think of any articles off the top of their head?

Hope everyone is having a good night :)

teragram

Veteran Member

Joined : May 2013

Posts : 4039

Posted 11/17/2014 2:31 AM (GMT 0)

I am so tired, and so far behind on paperwork, I haven't even tried.

My ENT doctor helped me with my inhaler, because they wouldn't pay for the Xopenex, as the Albuterol is much more widely used. All he had to do was explain that the Albuteral caused tachycardia in me, and the insurance started paying. But these aren't drugs used for Lyme.

My insurance did pay for my antibiotics; I'm amazed that they did. Now I'm using herbals, so it's a moot point.

Most of the drugs they won't pay for aren't for Lyme perse, except for the Deplin, and I gave up on that.

I'll see what I can find.

Margaret

teragram

Veteran Member

Joined : May 2013

Posts : 4039

Posted 11/17/2014 2:53 AM (GMT 0)

Here are some, but you need to read them, to make sure the conclusions are positive.

http://www.ncbi.nlm.nih.gov/pubmed/1417107

http://www2.lymenet.org/domino/abstract.nsf/0/b5b0269d8a4706bb8525660f00089d46?openDocument

http://www.ilads.org/media/boston/slides/horowitz/horowitz.html

The last is a slide presentation by Horowitz at ILADs, but it might help.

I would say anything and everything would help, including user reviews:

http://www.drugs.com/comments/penicillin/bicillin-l-a-for-lyme-disease-neurologic.html

And this is a Senate hearing about Lyme (could be very useful)--look under "Treatment."

http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=37&ved=0CEcQFjAGOB4&url=http%3A%2F%2Fwww.help.senate.gov%2Fimo%2Fmedia%2Fdoc%2FKatz%2520Lyme%2520Senate%2520Hearing%25202012%2520Testimony%25208.30.doc&ei=amNpVKS1HcKmgwTW_YKAAQ&usg=AFQjCNE-VBWOJ4qPKyNdtj0PTLZ5lY7XkA&sig2=McZeA3gSr0sDz0ZS_cXnkg

Margaret

Lymie Lou

Regular Member

Joined : Feb 2014

Posts : 24

Posted 11/18/2014 3:18 AM (GMT 0)

Margaret, you are an angel! Thank you so much, this is so helpful. I have been having some really bad days and this really helps me out. Thank you for all of your help!!!!

teragram

Veteran Member

Joined : May 2013

Posts : 4039

Posted 11/18/2014 4:01 AM (GMT 0)

Wowee, Thanks for the high compliments . . .

Glad I could be of help.

Margaret

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