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Pain Clinics - does insurance cover the cost?

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  • Pain Clinics - does insurance cover the cost?

    I have read a lot about pain clinics. My current uro refused to give me pain meds to help me through this long flare I am having. I learned after over a year of suffering that my pain is IC.

    I was just wondering if pain clinics are covered under insurance? We live in GA.

    We are not poor, but as most of you know the pile of meds I am taking keeps adding up. We just added Zyrtec and Sinuglar to the pile which was about $100 together or so. (sigh) I feel so guilty lately about how much IC is costing my family & I. So I would hate to suggest a pain clinic to my doctor only to find out it is going to cost us even more money.
    Ashley - wife of Michael for about 15yrs, mom of 3, stay at home mom and homeschooling mom

    Learned I had IC through a potassium sensitivity test on - 3/1/07

    My meds -

    Elmiron 2 times a day
    Marshmallow Root pills once a day
    Prosed
    Zyrtec - once a day

  • #2
    My insurance does. My gyn referred me and I have to pay just my ususal co-pay for an office visit.
    One thing I have learned is to let my doctors know I want meds that have a generic version, if possible...much cheaper.
    Best wishes

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    • #3
      My insurance also covers pain clinic visits, although the copay is slightly higher than a visit to my GP.
      ****
      Jen

      *Diagnosed with severe IC in 2004
      *Also diagnosed with PFD, fibromyalgia, chronic myofascial pain, IBS, migraines, allergies/asthma, dermatographism
      *Kept trying a million different treatments for all these things until I found what works, and I am doing okay these days with the help of a cocktail of medications and the InterStim, which was first placed in 2007. [I have had 2 revisions - one in 2010 when my battery died and had to be replaced, and one complete replacement (lead and generator) in 2012 after a fall on my stairs caused my lead to move.]
      *Current meds include Atarax (50mg at night), Lyrica (150mg twice a day), Xanax (0.5mg at night and as needed), Zanaflex (4mg at night), hydrocodone (10/325, every 6 hours as needed), Advair, Nasonex, Singulair (10mg at night), oral contraceptives, home instills containing Elmiron and Marcaine (as often as I need to do them).

      **I am not a medical authority nor do I offer definitive medical advice. I strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.

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      • #4
        Ashley, are you near middle GA? I have IC too and see a pain clinic locally. W/o them, I would not be able to work and it's covered by insurance. PM me if you would like some info
        Was diagnosed with IC in 1993 after extensive endometriosis and total hysterectomy.
        MEDS: Attarax, Zantac, Zanaflex, Oxycontin, Lortab, Urimax and daily instillations of Lidocaine, sodium bicarbinate and heparin (lifesavers)
        Have used Elmiron & Elavil w/o any improvement

        Now have a possible dx of fibromyalgia. Working on confirming that or hopefully ruling it out

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        • #5
          Yes, My insurance also covers my pain clinic appointments, like the others it is slightly higher. My primary care doctor visits are $20.00 and the specialist are $30.00. I don't know what other insurance companies runs though.

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