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Getting Synagis Again

lgmom2010lgmom2010
in Preemies
I am sooo relieved, we finally heard back after about 2 months! We qualify for Synagis again....thank goodness! Anyone else get it for the 2nd year?
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Re: Getting Synagis Again

  • adrielegorburuadrielegorburu member
    My Pulmonologist already told us she doesnt get it next year - I was taken back - she was 22w when she was born - but since she hasnt had any lung isues since her discharge he said no - I told him she starts day care next year and she needs the shots - he insisted she doesnt need them - and hes the one who told me to keep her out of day care for another season - hmmmfff - I'm glad you guys qualified.  I might try on my own to qualify and see what the insurance says.
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  • SushiNoMoreSushiNoMore

    Sort of.  My son was born 1/25 and discharged 4/6.  He got 1 Synagis shot before discharge.  He qualified for all 5 shots this year due to his age + gestational age at birth.  I doubt he'll qualify next year, though.

    Glad to hear you're getting it again!

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  • njdcgirlnjdcgirl member

    No, we didn't qualify this year. Sad

    (But, on a good note, he hasn't had any lung issues since he's been home, either.)

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  • jacque_zjacque_z member
    We are a 'sort of' also.  C got two rounds prior to discharge in March and then we qualified again for this whole season.  I'm thankful that we qualify but man she hates those shots!   
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  • lgmom2010lgmom2010

    I'm sorry for those who haven't qualified :( It sucks that they have so many stipulations for these....

     

    I'm so happy DD is getting them bc unfortunately she has been on and off breathing treatments for about 3 months :/ that's probably what helped us qualify.. 

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  • lgmom2010lgmom2010

    imageadrielegorburu:
    My Pulmonologist already told us she doesnt get it next year - I was taken back - she was 22w when she was born - but since she hasnt had any lung isues since her discharge he said no - I told him she starts day care next year and she needs the shots - he insisted she doesnt need them - and hes the one who told me to keep her out of day care for another season - hmmmfff - I'm glad you guys qualified.  I might try on my own to qualify and see what the insurance says.

     

    Your pedi should try and get them for your DD anyway! It's worth a shot to try...I would push for it..

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  • jacque_zjacque_z member

    I just saw this on FB.  Might be helpful to some of those that were denied. 

    https://www.preemieprimer.com/how-to-write-a-synagis-appeal-letter-part-1/

    https://www.preemieprimer.com/how-to-write-a-synagis-appeal-letter-part-2/

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