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Isla's Synagis shot covered at 100%!!!

lilbit923lilbit923 member
in Preemies

Bout effin time! I knew if I held out a bit longer that her NICU bills would be processed in time for everything to be covered at 100%! YES!! Go US!

Only draw back now is, because my insurance took so long to process her claims, the shot might not be administered by March 31. My insurance will only cover the shot for March but I know my Pedi wants it for March and April. Guess my insurance will just need a Pedi's approval and suck up the cost.

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Re: Isla's Synagis shot covered at 100%!!!

  • BloggingTeachBloggingTeach
    Awesome...great news!
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  • IrishsapphireIrishsapphire member
    Woot woot, woot woot!  Happy parent dance!
    imageimageLilypie - Personal pictureLilypie Premature Baby tickers Lilypie Premature Baby tickers image BFP on 07/18/08. Miscarriage 07/30/08. BFP 3/25/09. Confirmed second miscarriage, no heartbeat, no growth beyond 7 weeks, 5/19/09. TTC again, on baby aspirin, due to value of 23 on Anticardiolipin Antibodies. BFP 11/15/09. Brown spotting, Beta 3735 11/25/09, Beta 5602 11/28/09. Anticardiolipin Antibodies now negative, still on baby asprin. On 100 mg of Prometrium (progesterone) until 10 weeks. Good heartbeat at 1st appt. 12/16/09. Started taking fish oil. Perigestational hemorrhage and red bleeding 12/17/09. 2nd Ultrasound-8 weeks, still a heartbeat 12/17/09. Baby measured 9 weeks, still a heartbeat 12/23/09. Good NT Scan on 1/8/10, heartbeat 164. EDD 7/28/10. TEAM BLUE! Aidan Thomas born on May 26, 2010. Baby #2, BFP 11/27/11, EDD 6/5/12. TEAM PINK! Noelle Elizabeth born 4/30/12. Blessing from God, Blessing from God, Blessing from God, Blessing from God.
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  • sail123sail123 member
    Great news!
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  • AVA0908AVA0908
    Great to hear those shots will be covered!!!
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  • schenkertobeschenkertobe
    Woohooo!!! Just curious- do you know what the out of pocket expense for the shot is? They gave my LO the shot yesterday while in the NICU and I didn't even ask if it was covered.
    Lilypie Angel and Memorial tickers Lilypie Premature Baby tickers
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  • jcsntms06jcsntms06 member
    That's great news!
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  • lilbit923lilbit923 member

    imageschenkertobe:
    Woohooo!!! Just curious- do you know what the out of pocket expense for the shot is? They gave my LO the shot yesterday while in the NICU and I didn't even ask if it was covered.

    My cost would have been around $220.00. I know it's 20% of the shot and the shot being $1K or just over. Still, I think insurance should cover these types of things. It's not a routine vaccine, it's in case of a preemie and shouldn't preemies have special provisions because they didn't arrive at term? I think so, just sayin.

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  • sdtchica13sdtchica13 member
    Great news lilbit! We had to fight the insurance company hardcore to get them to cover Corri's Synagis because she turned 7 months old 2 WEEKS before RSV season started in NJ...it would have been approximately $1,200 per shot otherwise!
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