Limb Lengthening Forum

Please login or register.

Login with username, password and session length
Advanced search  
Pages: [1]   Go Down

Author Topic: Questions for USA citizens w/ medicaid/health insurance  (Read 644 times)

0 Members and 4 Guests are viewing this topic.

SpeedDialer

  • Sr. Member
  • ***
  • Offline Offline
  • Posts: 1389
Questions for USA citizens w/ medicaid/health insurance
« on: August 28, 2021, 07:11:46 PM »

I'm a USA citizen

1. Should you have some kind of health insurance before doing LL so that afterwards the health insurance can help w/ injuries/complications after LL is over?

2. For what kind of things did Medicaid / would medicaid help you in this case?

3. If you were to get private health insurance before LL w/ the hope that the insurance would cover some bad things that happen after LL, what kind of private health insurance would you get in USA?

I vaguely remember one doctor saying that sometimes he could get health insurance to help w/ nail removal in some way
Logged

Medium Drink Of Water

  • Moderator
  • Premier Member
  • ****
  • Offline Offline
  • Posts: 3587
Re: Questions for USA citizens w/ medicaid/health insurance
« Reply #1 on: August 28, 2021, 07:28:51 PM »

1. Yes, but you should have health insurance regardless.

2. Probably just the basic essentials.

3. Kaiser Permanente covered my fasciotomy 100%.
Logged

Activatedxx

  • Sr. Member
  • ***
  • Offline Offline
  • Posts: 469
Re: Questions for USA citizens w/ medicaid/health insurance
« Reply #2 on: August 28, 2021, 10:15:48 PM »

I'm a USA citizen

1. Should you have some kind of health insurance before doing LL so that afterwards the health insurance can help w/ injuries/complications after LL is over?

2. For what kind of things did Medicaid / would medicaid help you in this case?

3. If you were to get private health insurance before LL w/ the hope that the insurance would cover some bad things that happen after LL, what kind of private health insurance would you get in USA?

I vaguely remember one doctor saying that sometimes he could get health insurance to help w/ nail removal in some way

Medical isn’t supposed to cover cosmetic surgery at all, even complications. But blue cross blue shield covered majority of my physio cost and was going to cover my fixator removal
Logged
5’5 starting. 8cm distracted. External LON Femur Buldu (Turkey) 2021. Nail removal at HSS (USA) .
Tibia external TSF 10-2024, Assayag (Usa). In progress.
If considering external femurs please change your mind

Medium Drink Of Water

  • Moderator
  • Premier Member
  • ****
  • Offline Offline
  • Posts: 3587
Re: Questions for USA citizens w/ medicaid/health insurance
« Reply #3 on: August 28, 2021, 11:13:55 PM »

Insurance covers medically necessary fixes to complications.  For example, if a woman has a problem with a breast implant being infected, the insurance company will pay to have it extracted and for infection-control but not for a new implant.
Logged

SpeedDialer

  • Sr. Member
  • ***
  • Offline Offline
  • Posts: 1389
Re: Questions for USA citizens w/ medicaid/health insurance
« Reply #4 on: September 05, 2021, 06:58:19 AM »

ty!!! Curious, what do LL patients need a fasciotomy  to accomplish? Ex: to cover some problem that occurs years after LL?
Logged

Want-3-inches

  • Full Member
  • **
  • Offline Offline
  • Posts: 216
Re: Questions for USA citizens w/ medicaid/health insurance
« Reply #5 on: September 05, 2021, 08:08:36 AM »

Insurance covers medically necessary fixes to complications.  For example, if a woman has a problem with a breast implant being infected, the insurance company will pay to have it extracted and for infection-control but not for a new implant.

Paley's website states that any complication from CLL is not covered by insurance: https://paleyinstitute.org/centers-of-excellence/stature-lengthening/costs-financial-considerations/#/

It would depend on what the doctor treating the complication writes. If he mentions the CLL history, insurance might refuse to cover the expenses.
Logged

SirStretchAlot

  • Sr. Member
  • ***
  • Offline Offline
  • Gender: Male
  • Posts: 339
Re: Questions for USA citizens w/ medicaid/health insurance
« Reply #6 on: September 05, 2021, 09:55:33 AM »

Agree with everyone here. From my experience, insurance only covers physio and prescription medicine. There're some insurances that may cover removal.
Logged
May 2021: 171cm (evening) > September 2021: 181cm
Wingspan: 170cm | Male: 29 | 65kg | Based in UK
Femurs: Betzbone with Dr. Betz | ITB Release: Dr. Giotikas
Dairy: http://www.limblengtheningforum.com/index.php?topic=66558.0

Want-3-inches

  • Full Member
  • **
  • Offline Offline
  • Posts: 216
Re: Questions for USA citizens w/ medicaid/health insurance
« Reply #7 on: September 05, 2021, 10:54:48 AM »

Agree with everyone here. From my experience, insurance only covers physio and prescription medicine. There're some insurances that may cover removal.

Medium Drink of Water and I are saying different things. Who do you agree with?

Did you get a complication that you tried using insurance to cover?
Logged

Medium Drink Of Water

  • Moderator
  • Premier Member
  • ****
  • Offline Offline
  • Posts: 3587
Re: Questions for USA citizens w/ medicaid/health insurance
« Reply #8 on: September 05, 2021, 01:27:12 PM »

Paley means he can't get insurance to pay him to fix your complications while you're under his care.

ty!!! Curious, what do LL patients need a fasciotomy  to accomplish? Ex: to cover some problem that occurs years after LL?

I got exertional compartment syndrome in my tibialis anterior muscles whenever I walked, due to the change in biomechanics caused by LL.  A fasciotomy is a slit in the muscle that allows blood to be released.
Logged

Want-3-inches

  • Full Member
  • **
  • Offline Offline
  • Posts: 216
Re: Questions for USA citizens w/ medicaid/health insurance
« Reply #9 on: September 05, 2021, 01:41:52 PM »

Paley means he can't get insurance to pay him to fix your complications while you're under his care.

He doesn't want to, or he can't? If he can't, then the implication is that insurance providers don't oblige, right?

Dr M says complications are covered by insurance. I am thinking insurance providers tend to not oblige if there is a mention of prior cosmetic work. So Dr M is okay with hiding that, and Paley isn't. Do you agree with my assessment?
Logged

Medium Drink Of Water

  • Moderator
  • Premier Member
  • ****
  • Offline Offline
  • Posts: 3587
Re: Questions for USA citizens w/ medicaid/health insurance
« Reply #10 on: September 05, 2021, 01:48:25 PM »

Dr M lies to insurance companies for his patients?  Unlikely.
Logged

Want-3-inches

  • Full Member
  • **
  • Offline Offline
  • Posts: 216
Re: Questions for USA citizens w/ medicaid/health insurance
« Reply #11 on: September 05, 2021, 02:19:33 PM »

Dr M lies to insurance companies for his patients?  Unlikely.

Lying is not the same as withholding information.  ;)

What is your hypothesis that Paley is not able to use insurance for complications but Dr M is? Another possibility is, Paley is greedy and always wants cash upfront from all cosmetic patients even when they are suffering from a major complication.
Logged

Medium Drink Of Water

  • Moderator
  • Premier Member
  • ****
  • Offline Offline
  • Posts: 3587
Re: Questions for USA citizens w/ medicaid/health insurance
« Reply #12 on: September 05, 2021, 03:07:47 PM »

I think the two doctors are talking about different kinds of complications.
Logged
Pages: [1]   Go Up