Plasmapheresis

[missjo]

Our insurance is denying plasmapheresis at Georgetown because it is not in our network. They are saying he can have plasmapheresis but at our local childrens hospital in Norfolk VA. I am trying to get in touch with Dr. L to appeal and state why it needs to be done at Georgetown but while i wait i wondered if anyone else has had to fight to have it at an out of network hospital.

[dcmom]

That may be a tough fight

 

 

We had to fight to have it at Gtown, which is IN our network, since it PEX is not "approved" for pandas, according to our insurance.

 

Dr L was a rock for us, however, and did get it through. It took almost three weeks of daily calls by me, Dr L, and my dh's hr dept.

 

If there is someone at the HR dept of the company that provides your family with health insurance, that you can get involved, on your side- we found that helpful.

Edited February 24, 2012 by dcmom