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Old 06-18-2016, 12:23 PM
 
Location: Sneads Ferry, NC
13,371 posts, read 27,039,380 times
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Has anyone had problems with the insurance coverage of clustered allergy shots? That is where they give several shots on the same day rather than spacing them one week apart.

I have Humana Medicare Advantage.
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Old 06-21-2016, 07:12 PM
 
10,719 posts, read 20,296,391 times
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Quote:
Originally Posted by goldenage1 View Post
Has anyone had problems with the insurance coverage of clustered allergy shots? That is where they give several shots on the same day rather than spacing them one week apart.

I have Humana Medicare Advantage.
Insurance varies covering any procedure let alone allergy shots. I'm a cardiologist and we offer certain stents that are covered by all insurance plans and people have to pay out of pocket for them. You can always ask how much the out of pocket cost is. Usually they give you a steep discount if you are paying cash.
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Old 06-21-2016, 07:51 PM
 
Location: near bears but at least no snakes
26,653 posts, read 28,677,767 times
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I don't know if mine were clustered shots but they gave me a shot in each arm, each shot containing multiple antigens. I think I had to wait about three days before going back for more shots so I usually went twice a week. It's the type of shot that is based upon precise testing so that you are getting the exact dose for you, not just a general one-size-fits-all dose, the same dose they give to everyone.

Since the testing is so precise, there is almost a zero chance of an allergic reaction, so you don't have to sit around for twenty minutes with them watching to see if you have a reaction.

I never had any trouble with insurance.
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Old 06-28-2016, 06:32 AM
 
Location: Sneads Ferry, NC
13,371 posts, read 27,039,380 times
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To clarify, clustered shots are where you get up to 4 shots in one visit, waiting 20-30 minutes between each shot. So you might stay in the office for two hours.

Humana told me that I would need to get pre-authorization for the clustered shots.
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Old 09-30-2016, 07:23 PM
 
Location: Florida
745 posts, read 1,648,728 times
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Quote:
Originally Posted by azriverfan. View Post
Insurance varies covering any procedure let alone allergy shots. I'm a cardiologist and we offer certain stents that are covered by all insurance plans and people have to pay out of pocket for them. You can always ask how much the out of pocket cost is. Usually they give you a steep discount if you are paying cash.
Have you ever suggested that these patients be tested for Candida overgrowth?
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Old 10-01-2016, 10:58 AM
 
Location: Southern California
29,266 posts, read 16,749,428 times
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Going to allergist and shots NEVER helped me. I even got to a place where allergist sent me home with solutions and needles to do my own, but never any relief.

OPC's entered my life in 1995 in the form of Pycnogenol and a CURE...been taking OPC's for 21 yrs.
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Old 10-02-2016, 05:55 AM
 
Location: Glasgow Scotland
18,527 posts, read 18,748,986 times
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I havent been offered anything for my MCS and Ive been trying to tell doctors about the symptoms for over 50 years... what they did offer me was depression pills and steroids... didnt take any of them..
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Old 10-02-2016, 06:50 AM
 
5,644 posts, read 13,227,361 times
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Originally Posted by OhZone View Post
Have you ever suggested that these patients be tested for Candida overgrowth?
Why would anyone suggest testing for something that doesn't exist?
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Old 10-05-2016, 03:39 PM
 
14,400 posts, read 14,303,039 times
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Quote:
Originally Posted by goldenage1 View Post
Has anyone had problems with the insurance coverage of clustered allergy shots? That is where they give several shots on the same day rather than spacing them one week apart.

I have Humana Medicare Advantage.
Why not call the benefits coordination department at your insurance company and ask?

I have had allergy shots. They were quite effective for me. I guess my question is why do you want to take several shots in one day? Are you sure the clinic will do that? One issue with allergy shots is not sending you into a severe allergic reaction. The more you have in one day, the more likelihood there is of that.
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Old 10-05-2016, 10:55 PM
 
Location: near bears but at least no snakes
26,653 posts, read 28,677,767 times
Reputation: 50525
Allergy shots helped me a lot. I think they were called provocative neutralization. They work really fast because you start out at your maximum dose. It's great for someone who is really, really sick from allergies
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