Meant for group...



_______________________________________

--- B Masta <chopchae@...> wrote:



> Date: Mon, 13 Dec 2004 18:59:37 -0000

> From: "B Masta" <chopchae@...>

> To: rosacea-support-owner@yahoogroups.com

> Subject: Re: Dr. Nase - cost of IPL

>

>

>

> > If it is a double pass and takes 45 minutes, then

> I think $500 is

> > reasonable with a note from the doctor to your

> insurance for full

> or

> > partial reimbursement.

>

>

> I was under the impression that the procedure was

> always classified

> as "cosmetic" and therefore not handled w/

> insurance...

>

>

>

>

>

>

>









__________________________________

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--- In rosacea-support@yahoogroups.com, David RuizdelVizo

<ruizdelvizo@y...> wrote:

> Meant for group...

>

> _______________________________________

> --- B Masta <chopchae@a...> wrote:

>

> > Date: Mon, 13 Dec 2004 18:59:37 -0000

> > From: "B Masta" <chopchae@a...>

> > To: rosacea-support-owner@yahoogroups.com

> > Subject: Re: Dr. Nase - cost of IPL

> >

> >

> >

> > > If it is a double pass and takes 45 minutes, then

> > I think $500 is

> > > reasonable with a note from the doctor to your

> > insurance for full

> > or

> > > partial reimbursement.

> >

> >

> > I was under the impression that the procedure was

> > always classified

> > as "cosmetic" and therefore not handled w/

> > insurance...

> >









Not anymore.  Almost half the patients I talk to nowadays get

partial to full reimbursement on a series of 5 treatments.  You have

to expect one automatic denial letter and then resubmit with a few

more medical references.  I  personally know at least  a dozen

rosacea patients that have had 10 to 15 full face treatments

reimbursed fully -- thats about $7,500.  If a laser physician wont

write you a medical necessity letter for reimbursement then tell him

that you've just lost his business and many others who you converse

with on the allmightly internet.   Laser physicians are making too

much money.  They dont have to deal with insurance setting their

prices, the money is out of pocket or credit card up front.  Its

time for them to start earning their money.  Reimbursements are no

sweat off their back either so there should be no reason why they

should not write a medical necessity letter (and not cosmetic

letter) and detail that the laser is FDA approved and no longer

considered experimental.  You would be surprised what some elbow

grease and an extra 15 minutes will get you.



I have long considered adding a web page to my site detailing what

laser surgeons dont make an effort to get reimbursement for

patients.  Trust me, this will get their attention.  But it is a

fine line for me.



Regards,



Geoffrey

______________________________



Dr. Geoffrey Nase

Ph.D. Neurovascular Physiologist

http://www.drnase.com

______________________________











> >

> >

> >

> >

> >

> >

>

>

>

>

> __________________________________

> Do you Yahoo!?

> Read only the mail you want - Yahoo! Mail SpamGuard.

> http://promotions.yahoo.com/new_mail

If anyone looking at getting insurance cover for IPL/Laser treatments

there is some helpful information at the url below.



http://wiki.rosaceagroup.org/index.php/Getting_insurance_cover



Warren Stuart

http://rosaceagroup.org

I have been getting reimbursment from my medical spending account.  I

sent them the pertinent pages from Dr. Nase's book and made SURE the

laser doc coded the receipt for Rosacea.



If I had to use my regular insurance I would be really sure on

preauthorization, although I had reached the point I would have paid

out of pocket if I had to - I don't do really well with topical or

oral antibiotics.  There was not much left and I was hurting!



So I had 4 IPL's.  I am going to a different laser doc this week and

will start V-beam for the deeper veins.  He has me pretty nervous

about the swelling, so wish me luck.



BTW - I just gave myself the worst flush in months - on a Krispy

Kreme donut.  So I think I know what I will do to produce a nice

flush for treatment.  For once I can have fun doing it =:-)





>

>

> Not anymore.  Almost half the patients I talk to nowadays get

> partial to full reimbursement on a series of 5 treatments.  You

have

> to expect one automatic denial letter and then resubmit with a few

> more medical references.  I  personally know at least  a dozen

> rosacea patients that have had 10 to 15 full face treatments

> reimbursed fully -- thats about $7,500.  If a laser physician wont

> write you a medical necessity letter for reimbursement then tell

him

> that you've just lost his business and many others who you converse

> with on the allmightly internet.   Laser physicians are making too

> much money.  They dont have to deal with insurance setting their

> prices, the money is out of pocket or credit card up front.  Its

> time for them to start earning their money.  Reimbursements are no

> sweat off their back either so there should be no reason why they

> should not write a medical necessity letter (and not cosmetic

> letter) and detail that the laser is FDA approved and no longer

> considered experimental.  You would be surprised what some elbow

> grease and an extra 15 minutes will get you.

>

> I have long considered adding a web page to my site detailing what

> laser surgeons dont make an effort to get reimbursement for

> patients.  Trust me, this will get their attention.  But it is a

> fine line for me.

>

> Regards,

>

> Geoffrey

> ______________________________

>

> Dr. Geoffrey Nase

> Ph.D. Neurovascular Physiologist

> http://www.drnase.com

> ______________________________

>

>

>

>

>

> > >

> > >

> > >

> > >

> > >

> > >

> >

> >

> >

> >

> > __________________________________

> > Do you Yahoo!?

> > Read only the mail you want - Yahoo! Mail SpamGuard.

> > http://promotions.yahoo.com/new_mail

It is true that IPL is classified as cosmetic, but it is possible to

submit it to your insurance and get reimbursed.  In my case, I was

initially turned down, but appealed the decision and won.  Since

then, all of my treatments have been covered by insurance.



To get coverage, you need to convince your insurance that the

procedure is medically necessary.  It's helpful to discuss pain

reduction and improvement in your ability to function because of the

treatments.



Meg



--- In rosacea-support@yahoogroups.com, David RuizdelVizo

<ruizdelvizo@y...> wrote:

> Meant for group...

>

> _______________________________________

> --- B Masta <chopchae@a...> wrote:

>

> > Date: Mon, 13 Dec 2004 18:59:37 -0000

> > From: "B Masta" <chopchae@a...>

> > To: rosacea-support-owner@yahoogroups.com

> > Subject: Re: Dr. Nase - cost of IPL

> >

> >

> >

> > > If it is a double pass and takes 45 minutes, then

> > I think $500 is

> > > reasonable with a note from the doctor to your

> > insurance for full

> > or

> > > partial reimbursement.

> >

> >

> > I was under the impression that the procedure was

> > always classified

> > as "cosmetic" and therefore not handled w/

> > insurance...

> >

> >

> >

> >

> >

> >

> >

>

>

>

>

> __________________________________

> Do you Yahoo!?

> Read only the mail you want - Yahoo! Mail SpamGuard.

> http://promotions.yahoo.com/new_mail