Holy @#$%!!!

Ace1599

So I just got a call from the pharmacy processing D's referral for synagis. He, thankfully, was approved, however our insurance processes that care under our co-insurance/deductible coverage. And each of D's doses cost almost $3k. So am I understanding this correctly that come January when our ins. rolls over, I am immediately going to need to pay my co-insurance in order to continue his Synagis?

stillhoping

Hopefuly not you may be able to fight this one.. good luck. I did not have to met my deductible again on mine, but that was five years ago.

KellyMichelle

We had to pay for our part for the new year until we met our deductible.

mek10976

I would fight this.  DS was born in mid Dec., so his NICU stay spanned 2 calendar years, so we had to pay the out-of-pocket 2x.  Right now we are fighting to get his helmet paid for - $3600!  YIKES!  Good luck

jlc071903

YOu shouldn't if you met your deductible for last year...at least we didn't have to and let me tell you CIGNA is a pain, so I'm sure they would have squeezed us for every dime they could have.

amramirez

yes my son was born in aug and when the new year rolled around we had to pay our 2k before it would be 'free' again