Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

The Nerve Of My Insurance


chrissy

Recommended Posts

chrissy Collaborator

we are still having trouble getting our insurance to pay for my son's testing. the gal at the gi's office talked to them and they want the doctor's notes-----my son hasn't been in, we tested because it is genetic, so there are no notes to send them. the INSURANCE said for us to put him on a gluten free diet. this kid has no symptoms except an IgA deficiency----there's no way he'd go on a gluten free diet just because the insurance said to. it makes me so mad!!!!!! the gi said that he could tell the insurance that if they won't pay for the blood test, then he could do an endoscope instead----and let them choose.

christine

get this----i just opened a letter from my insurance company, they sent it out because i just had a birthday. the letter is about preventive health screenings. here is a quote from it. "preventive screenings are important because they can help identify diseases early on when they are easier to treat." and they don't want to pay for my son's blood test??????

christine


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Guest nini

I can believe it... Insurance companies are a racket anyway. They are in the business of trying how to figure out how to avoid paying for stuff.

debmidge Rising Star

Having done this myself for other reasons I would recommend that you copy their little "love letter about preventative testing" and write a calm, reasonable worded letter to their "Appeals and Review" Dept. and ask them to re-consider paying for the celiac testing as this would definitely be "preventative testing" and would take the guesswork out of whether or not your child has celiac.

tiredofdoctors Enthusiast

I think Debmidge has a really good idea. When you approach them with a calm, firm attitude and a very valid argument, what can they do? Basically, right now they've shot themselves in the foot. I think you're in a very good position to argue your point -- and get the results you need. Good luck -- but I'll bet you that it works. (Debmidge -- seriously -- a really good idea) . . . Lynne

Judyin Philly Enthusiast

preventive health screenings. here is a quote from it. "preventive screenings are important because they can help identify diseases early on when they are easier to treat." and they don't want to pay for my son's blood test??????

christine

DON'T YOU WISH THEY HAD A CLICKABLE SMILE THAT HAD YOU HITTING YOUR SELF ON THE HEAD..

This is too amazing given your previous paragragh.

I have no comments that would be allow for me to print here.

:ph34r: I'm sorry, it's kinda like a slap in the face.

judy in philly

Archived

This topic is now archived and is closed to further replies.


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      131,911
    • Most Online (within 30 mins)
      7,748

    Cici123
    Newest Member
    Cici123
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.4k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • Rogol72
      @klmgarland, My dermatitis herpetiformis didn't clear up until I became meticulous about cross contamination. I cut out gluten-free oats and all gluten-free foods, dairy and gluten-free rice. Additionally, getting the right amount of protein for my body weight helped significantly in my body's healing process ... along with supplementing with enough of all the vitamins and minerals ... especially Zinc and Magnesium. I went from 70kg to 82kg in a year. Protein with each meal 3 times daily, especially eggs at breakfast made the difference. I'm not sure whether iodine was a problem for me, but I can tolerate iodine no problem now. I'm off Dapsone and feel great. Not a sign of an itch. So there is hope. I'm not advocating for the use of Dapsone, but it can bring a huge amount of relief despite it's effect on red blood cells. The itch is so distracting and debilitating. I tried many times to get off it, it wasn't until I implemented the changes above and was consistent that I got off it. Dermatitis Herpetiformis is horrible, I wouldn't wish it on anyone.  
    • klmgarland
      Thank you so very much Scott.  Just having someone understand my situation is so very helpful.  If I have one more family member ask me how my little itchy skin thing is going and can't you just take a pill and it will go away and just a little bit of gluten can't hurt you!!!! I think I will scream!!
    • Scott Adams
      It is difficult to do the detective work of tracking down hidden sources of cross-contamination. The scenarios you described—the kiss, the dish towel, the toaster, the grandbaby's fingers—are all classic ways those with dermatitis herpetiformis might get glutened, and it's a brutal learning curve that the medical world rarely prepares you for. It is difficult to have to deal with such hyper-vigilance. The fact that you have made your entire home environment, from makeup to cleaners, gluten-free is a big achievement, but it's clear the external world and shared spaces remain a minefield. Considering Dapsone is a logical and often necessary step for many with DH to break the cycle of itching and allow the skin to heal while you continue your detective work; it is a powerful tool to give you back your quality of life and sleep. You are not failing; you are fighting an incredibly steep battle. For a more specific direction, connecting with a dedicated celiac support group (online or locally) can be invaluable, as members exchange the most current, real-world tips for avoiding cross-contamination that you simply won't find in a pamphlet. You have already done the hardest part by getting a correct diagnosis. Now, the community can help you navigate the rest. If you have DH you will likely also want to avoid iodine, which is common in seafoods and dairy products, as it can exacerbate symptoms in some people. This article may also be helpful as it offers various ways to relieve the itch:  
    • Scott Adams
      It's very frustrating to be dismissed by medical professionals, especially when you are the one living with the reality of your condition every day. Having to be your own advocate and "fight" for a doctor who will listen is an exhausting burden that no one should have to carry. While that 1998 brochure is a crucial piece of your personal history, it's infuriating that the medical system often requires more contemporary, formal documentation to take a condition seriously. It's a common and deeply unfair situation for those who were diagnosed decades ago, before current record-keeping and testing were standard. You are not alone in this struggle.
    • Scott Adams
      Methylprednisolone is sometimes prescribed for significant inflammation of the stomach and intestines, particularly for conditions like Crohn's disease, certain types of severe colitis, or autoimmune-related gastrointestinal inflammation. As a corticosteroid, it works by powerfully and quickly suppressing the immune system's inflammatory response. For many people, it can be very effective at reducing inflammation and providing rapid relief from symptoms like pain, diarrhea, and bleeding, often serving as a short-term "rescue" treatment to bring a severe flare under control. However, experiences can vary, and its effectiveness depends heavily on the specific cause of the inflammation. It's also important to be aware that while it can work well, it comes with potential side effects, especially with longer-term use, so it's typically used for the shortest duration possible under close medical supervision. It's always best to discuss the potential benefits and risks specific to your situation with your gastroenterologist.
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.