Hi Everyone,

Not to have you go to any other forum, but there is a facebook forum that is RSD called Ketamine Klub for RSD/CRPS patients. I believe there are a lot of discussions about insurance companies not paying. I know that when I took my daughter for the infusions with Dr. K, I paid the $500 initial appointment, plus the infusions, and then again for the infusions. When I phoned the insurance company they gave me the run around about him being out of network and how they probably would pay MAYBE $2,000 from each infusion... So to sum it up, out of $16,000.00 They MAY pay $4,000.00 but it would be put toward the out of network deductible. Nice huh???? I think with the insurance companies, Ketamine hasn't been around long enough.

Now as far as Dr. S is concerned. If he accepts that insurance there shouldn't be a problem.

When my 16 year old daughter was accepted into the pain program at the Cleveland Clinic Childrens hospital, my insurance denied it as well. Her primary care doctor got on the phone and called the insurance company and told them that this was the ONLY thing that could be done at this time, we had exhausted every thing else. It only took the call from her doctor saying it was medically necessary for this treatment. Then five months later they never hesitated to admit her again for another course of treatment in the Same Pain program, Imagine that???? I don't know what insurance you have but we have United Health Care and on most of the boards they are the insurance company that is so difficult to deal with.

BE you own voice, get on the phone and don't quit, Don't give up. If you can somehow afford that initial appointment go and see what he has to say. Then submit it to the insurance company and go from there. Don't give up your appointment. You can always fight the insurance company after Dr. S. say's you need treatment. Like everyone said he is a well know doctor at Drexel. let him argue once you have that appointment. I am sure he will fight for you. So GO GIRL...BE STRONG. Let us know what happens.

I am praying that you are accepted. Keep your chin up.

Sandy