Medical Insurance re Lyme disease & other TBDs

General or non-medical topics with information and discussion related to Lyme disease and other tick-borne diseases.
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RitaA
Posts: 2768
Joined: Thu 1 Jul 2010 8:33

Medical Insurance re Lyme disease & other TBDs

Post by RitaA » Tue 21 Aug 2012 8:23

I came across this link when searching for information regarding medical insurance coverage for testing related to LD, but it's actually a pretty comprehensive review of Lyme disease and other tick-borne diseases.

It might even serve as a handy reference for some folks in North America who are unsure of what insurance companies (at least Aetna) may or may not cover at this time:

http://www.aetna.com/cpb/medical/data/200_299/0215.html
Clinical Policy Bulletin:
Lyme Disease and other Tick-Borne Diseases


Number: 0215

Effective: 03/17/1998
Last Review: 05/25/2012
Next Review: 02/28/2013

Here are links from two other insurers -- specifically about IV antibiotics and Lyme disease:

https://www.bcbsnc.com/assets/services/ ... isease.pdf
BlueCross BlueShield of North Carolina

Corporate Medical Policy

Intravenous Antibiotic Therapy for Lyme Disease

File Name: intravenous_antibiotic_therapy_for_lyme_disease
Origination: 3/2006
Last CAP Review: 2/2012
Next CAP Review: 2/2013
Last Review: 2/2012
http://www.cigna.com/assets/docs/health ... atment.pdf
Cigna Medical Coverage Policy

Subject Lyme Disease Treatment— Antibiotic Treatment

Effective Date .........................8/15/2012
Next Review Date......................8/15/2013
A list of the top 25 U.S. health insurance companies is available here. I'm guessing their policies are all similar when it comes to covering the costs of Lyme disease testing and treatment, but I could be mistaken about this:

http://health.usnews.com/health-plans/n ... -companies
The Top 25 Health Insurance Companies

The largest U.S. health insurers collected some $650 billion in premiums in 2009, the latest year for which data were available in early 2011. The top 25, ranked below by market share, accounted for nearly two-thirds of the total. Data were provided by the National Association of Insurance Commissioners, whose members direct the state agencies that license insurance companies.

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