What Dr or treatment covered by insurance

[Tigger013]

Hello-

 

Does anyone know if Dr. K in Chicago has appointments that are not insured. I set up an appointment and it cost $350 for consultation and it needs to be sent in before the appointment is made. I was hoping that there is some doctors in the Chicago area, including Dr. K, that accepts insurance. I want to treat my child for potential PANDAS, but at this rate I don't know where it will end with the final total and no coverage. Is this common not to find doctors that do this with out insurance coverage? Any suggestions, please send them my way. Thank you.

[MomWithOCDSon]

Hello-

 

Does anyone know if Dr. K in Chicago has appointments that are not insured. I set up an appointment and it cost $350 for consultation and it needs to be sent in before the appointment is made. I was hoping that there is some doctors in the Chicago area, including Dr. K, that accepts insurance. I want to treat my child for potential PANDAS, but at this rate I don't know where it will end with the final total and no coverage. Is this common not to find doctors that do this with out insurance coverage? Any suggestions, please send them my way. Thank you.

 

I would think it depends on your coverage. Dr. K. happens to be an "in network" provider via my group insurance policy (BCBS of Illinois), so one would expect any standard visit/consultation/evaluation by him would be covered to the extent any "in network" visit is covered: co-pay and then, in my case, 80%.

 

I think the trickier coverage issues have to do with actual PANDAS treatments, like IVIG.

[dabel]

The face to face appt was covered by our insurance. If you live in the area I would recommend this anyway. From what I understand phone consults are usually not covered by insurance.

[Tigger013]

The face to face appt was covered by our insurance. If you live in the area I would recommend this anyway. From what I understand phone consults are usually not covered by insurance.

 

 

Did you have any success with Dr. K? I want so desperately to help my daughter, but feel that the hype is going to let me down. Any suggestions, please guide me as to what I would expect from the consult in person. Thank you.

[P_Mom]

Our phone consult and office visit with him was covered by our insurance...Highmark PPO. (PA)

 

We did send in the money for the phone consult beforehand...but were reimbursed after Dr. K's office submitted it to insurance.