Reflex Sympathetic Dystrophy (RSD and CRPS) Reflex Sympathetic Dystrophy (Complex Regional Pain Syndromes Type I) and Causalgia (Complex Regional Pain Syndromes Type II)(RSD and CRPS)

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Old 07-21-2015, 07:44 PM #1
whiteaa whiteaa is offline
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whiteaa whiteaa is offline
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Question Insurance Advice?

Hey there,

So for my treatment so far, I have been on medicaid. I am starting a new job soon and will no longer qualify for medicaid though. I am trying to figure out what kind of insurance I need to get to make sure treatment for my CRPS is covered and preferably not pay a bazillion dollars.

Does anyone have advice on getting coverage for CRPS or other tips related to this topic?

Much appreciated!!!
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Old 07-21-2015, 08:56 PM #2
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Hi there,

Although Obamacare "officially" ended discrimination against sick patients by eliminating pre-existing coverage denial, there is an issue of medication coverage. Many are finding deductibles and out of pocket expenses skyrocketing and unless a medication is generic it can be placed on the most expensive Tier. With many needing multiple meds this can quickly create crippling expenses.

This means a lot more homework for the consumer to dig into what percentage procedures are covered at and what tier meds they need or MAY need in the future are placed on. I would look carefully at meds and things like nerve blocks, infusions and physical therapy.

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whiteaa (07-21-2015)
Old 07-23-2015, 09:26 PM #3
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Hi! Good luck with your new job! Your question about healthcare coverage is a good one. Littlepaw's advice about researching the cost of your meds is on the mark. If you can choose a healthcare provider with your new employer (small business dont usually offer a selection of companies, but larger corporations do) then you can go to each carrier's website with a list of your meds and look up the cost. I found costs varied between insurance companies and even which pharmacy i went to. You also want to make the doctors you see accept the insurance plan you choose. I havent figured out though how to compare costs for procedures like nerve blocks, xrays, bloodwork. Never mind understanding deductibles and co-insurance etc. The insurance companies can explain that stuff if you call them. Best of luck to you!
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whiteaa (07-24-2015)
Old 07-26-2015, 11:29 AM #4
goblue1998 goblue1998 is offline
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A lot of insurance company website have cost estimate for facilities and procedures where you might be able to get info on nerve block costs etc.. good luck
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