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Autonomic Disorder and Coverage for Mayo's Pain Rehab Program
Depression & Anxiety | Last Active: 1 day ago | Replies (17)Comment receiving replies
Hi there, were you ever able to get it figured out and scheduled? Were you able to get it scheduled before January?
I’ve been told several of the Mayo Doctors/Specialists I’ve seen since July that I would really benefit from the PRC program. We submitted the paperwork through insurance and the only thing they wouldn’t cover is $1200. Because I have so many medical issues, I’ve been going to Mayo almost every week since July. The first appointment down to Florida we had appointments, labs, procedures, etc for 2-1/2 straight weeks, daily and multiple a day (Except for Saturdays). We then came home for 3 days and had to return back to Mayo for another week, came back home for 2-3 days and returned again for 2 weeks to Mayo. It’s been like that constantly and just now the appointments are slowing down. I still have 5 appointments scheduled between November 20-25 and then one more December 16th. Because of the holidays and because I still have appointments to attend and imaging and a couple other procedures, we are thinking maybe I should start the PRC in January- this of course comes with the concern that all deductibles will restart etc. I saw where you mentioned in this comment that if it was scheduled before January (in your family’s case it was for January 2024). But were you able to schedule it in November/December for it to be done after the new year? Did the price go up since it was the start of the new year or no since you scheduled it and had insurance approve it all before hand? I have the option to take it starting November 26th- ending December 17th, so if needed I can go ahead and do it. It would just conflict with some of my currently scheduled appointments at Mayo, as well as a few critical appointments and a procedure I have scheduled here in GA. I also have two small children and have seen them very little since July, so ideally would prefer to be able to start in January so I can be home and around for the holidays with them. Please let me know! I also have BCBS but it’s IL and PPO. I’m not sure what yours was; but I know mine did get approved aside from the $1200 for the behavioral therapy I believe it was.
Also how did it go? Did it help at all? Thank you so much!
Replies to "Hi there, were you ever able to get it figured out and scheduled? Were you able..."
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Hi @jendysart, you have quite the dilemma. I graduated from the PRC in Florida 4 years ago and it did help me and was one of the best life experiences I've ever had . Understandably everyone's different and the first thing I'll tell you is you get out of it what you put into it, but that being said it is such a valuable rehab program for anyone who is living with chronic symptoms or pain. It's based around the goal of symptom reduction and increasing quality of life. It equips you with self-management tools emotionally behaviorally and physically also helps with medication reduction. Folks have graduated that have young kids like yourself and have really said they benefited greatly. I'm in a private Facebook group for graduates of the program and that's how I know, by seeing success stories. However, as I mentioned, you really have to understand what the program is about and what the goal is, along with buying into it .
Regarding insurance and not getting an answer yet from @kari3057, I'm hoping you eventually do receive a reply because I didn't have any sort of the insurance issues that you're referring to or they are referring to. I went through Medicare and paid a higher premium monthly in order to get out of network coverage and be able to go to Florida from New York. I had a pretty seamless experience with pre-certification. Now what seems to be your biggest dilemma is when to go. I feel for you, that's a tough one because you definitely want to be around and spend this quality time with your little ones especially if you've been on the go since July. Have you asked your PRC rep if price is going up for the program in January? Is meeting your deductible next year an automatic given anyway so you'll actually be at the same end game regardless of whether you go to PRC this year or next? It sounds like you have many other scheduled appointments. Is it possible to narrow down what appointments absolutely have to be squeezed in by the end of the year versus what can wait? You have many variables to think about. What does your family think? Do they think it's necessary for you to attend the PRC program by the end of the year if it's available to you?