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Old 01-10-2009, 10:10 AM
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4boysmom 4boysmom is offline
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Join Date: Jan 2008
Location: Idaho
Posts: 164
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4boysmom 4boysmom is offline
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Join Date: Jan 2008
Location: Idaho
Posts: 164
15 yr Member
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The center also has to be TOUCH approved. I live in a town of about 60,000 and we have 3 places to get Tysabri, the hospital, an oncology center, and a home IV pharma place. I go to the home IV pharma place. My primary insurance will not pay for me to go to the hospital. They told me that over the phone.

Where I'm going to run into problems, and it isn't a problem for me, but my infusion center. My primary insurance carrier pays a set amount. My secondary insurance has a deal with the center for a reduced amount. But it is reduced for the reasonable and customary charge, not the set amount of my primary. So they end up losing money on me until my max out of pocket is met from my primary.

The center is going to try and bill different. I hope it works. I don't think they are unreasonable, so I hate to see them lose money!
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Riverwild (01-16-2009)