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2010 Expenses-Update March 20, 2010

Posted by Admin in Cancer, Health Insurance, Healthonymous.
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Insurance changes are trickling in for 2010. First up, only 24 massages per year, or 2 per month from my employer-provided insurance. And this is with a prescription!

(This was, I heard to bring it in line with other “alternative therapies” in the market). Well then. I’ll have to tell my lymphatic system to get on an “alternative” schedule, I guess!

My first compression sleeve of the new year-not covered due to an improper procedure codes. I’ll call my “provider” and see if they need a new code. As far as I know my ICD9 code and prescription on file are sufficient. The cost listed on the “EOB” $194.00. (Explanation of benefits) I need between 2-4 of these per year-as the compression degrades with use. This is a tool to manage my lymphedema.

On the other hand, I just read my first dental EOB more carefully (cleaning, cavity spotting, good grades for flossing-finally and learned that I have orthodontia coverage $1000 of “lifetime” coverage. Hmmmmm. No one is too old for orthodontia anymore-check out your workplace!

In early 2010, I leapt back into the mental health department and found a new therapist.  This costs $90/hour. However, it has been worth it so far. I forgot how helpful just the right question can be-forcing me to consider an answer to a question I had not thought of myself.

Since my weekly out-of-pocket expenses last fall had averaged $90 per week, (see post called Goodbye to 2009 under Expenses) I had taken a holiday from appointments, save the massages, in order to catch up financially.

2010 to date: $150 massage co-pays; $180 for therapist; $194 pending for compression sleeve, $180.22 paid on fall medical bills; $33.80 for initial dental cleaning…..

Total: $738.02 or $67/week for $2010.

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Massage for Lymphedema November 29, 2009

Posted by Admin in Blog Math, Cancer, Diary, Humor, Money.
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[picapp align=”center” wrap=”false” link=”term=health+massage&iid=1134532″ src=”6/0/f/b/Massage_bfe8.jpg?adImageId=7903797&imageId=1134532″ width=”380″ height=”283″ /]

And that method did what?

I could ask my licensed massage therapist to hand me a glass now and then however!

Last week’s expenses: $30 co-pay for massage. Too bad my insurance coverage next year will not take my ICD9 code into consideration for treatment. Monthly totals tomorrow.

Total for Week ending November 27: $30.00

Weekly Expenses November 14, 2009

Posted by Admin in Blog Math, Cancer, Diary, Money.
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I have a doctor’s prescription that allows me to have insurance coverage for my every other weekly massages. Because I have lymphedema, as a result of my mastectomy and lymph node removal, the massage is extremely helpful.

Insurance coverage for anything to do with “complications from a mastectomy” is required by the Women’s Health and Cancer Rights Act of 1998 (see the Department of Labor website  for more information)

This week’s expenses: one $30 co-pay for a massage appointment.

Weekly total: $30

Month to date: $30

By the way, check your coverage changes this month: In 2010, my company coverage for massages and chiropractic care will decrease to 24 sessions a year (“in line with the market”). Never mind the diagnosis or the ICD9 code.

What’s Your ICD9 Code? September 15, 2009

Posted by Admin in Money.
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Not exactly an average pickup line is it? Today I have a massage for my chronic condition and my favorite ICD9 code. These codes date from the 1980’s and a process called Diagnosis-Related Groups.

Or DRG’s. That’s another thing about getting sick is to learn the vocabulary! The code is what the insurance company pays from. I know it  by heart.  After so many procedures, it was just better to memorize it.  My massage therapist doesn’t get paid very much per hour for her time from Insurance Company X, so she charges me an extra co-pay unit. Which I pay because the therapist is trained for my specific condition and is very good at it. Today’s cost $60.00.

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