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Insurance and Pain Management

26goingon60226goingon60 Posts: 2
edited 08/17/2015 - 9:19 PM in Health Insurance Issues

i created this account on this site looking for some insight and some guidance. in the next couple weeks i will no longer be part of my parents health insurance because i will be turning 26. i have been seeing a pain management specialist for about a year and a half. i do not know where to begin with looking for insurance and being able to attend a pain management program. what type of insurance should i be looking for? my current pain management does not accept most insurances and i am most likely going to have to switch doctors. with that being said, i am looking for an insurance plan that will allow me to see a pain management specialist, but yet affordable. if anyone has any insight or direction it will be greatly appreciated.

thank you

kindest regards

welcome to spine-health

it would be very helpful if you could provide us with more details. so many times we read about members who have different tests and they all come back negative. the more clues and information you provide, the better chances in finding out what is wrong,

here are some questions that you should answer:
  • - when did this first start?- was it the result of an accident or trauma?- what doctors have you seen? (orthopedic, neurosurgeon, spine specialist, etc)- what conservative treatments have you had? which ones?- what diagnostic tests have you had? and their results (mri, ctscan, xray, emg, etc)- what medications are you currently using? (details, dosage, frequency, etc)- has surgery been discussed as an option? (if so, what kind)- is there any nerve pain/damage associated?- what is your doctor’s action plan for treating you?

providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.

please take a look at our forum rules: forum rules

please remember that no one at spine-health is a formally trained medical professional.
everything that is posted here is based on personal experiences and perhaps additional research.
as such, no member is permitted to provide
  • - analysis or interpretation of any diagnostic test (ie mri, ctscan, xray, etc)- medical advice of any kind- recommendations in terms of medications, treatments, exercises, etc

what could be good for someone could spell disaster for another.
you should also consult your doctor to better understand your condition and the do’s and don’t’s.

it is very important that new members (or even seasoned members) provide others with details about their condition(s). it is virtually impossible to help another member when all the details we have are
i’ve had this for years, it hurts, i cant move my shoulder – what could this be, what treatment should i get?

diagnosing spinal problems can be very difficult. in many ways its like a game of clue. especially, when the diagnostic tests come back negative – no trouble found! then its up to the patient and the doctor to start digging deeper. the doctor is like a detective. they need clues to help them move along. so, you as the patient need to provide the doctor with all sorts of clues. that is like it is here. without having information about a condition, its impossible for anyone here to try to help.

specific comments :

personal opinion, not medical advice :

--- liz,spine-health system moderator


  • SavageSavage United StatesPosts: 7,385
    edited 08/18/2015 - 12:24 AM
    Does your parents insurance offer to cover you with your own policy as being independent?
    Are you still working and able to get insurance there? Has another job opportunity presented itself with better insurance coverage?
    For myself, before my being on Medicare, I needed insurance and was turned down by two different companies.
    Turned down due to pre existing conditions. They said my thyroid condition.

    I'm not sure how things work now a days with pre existing conditions.
    But with my two non acceptance letters in hand, I had social worker help me apply to my state health insurance program.

    This is not Medicaid. It is the state providing insurance when no one else will.
    The payments and coverage were equivalent to other major insurance carriers, ex, out of pocket percentage and monthly premiums, etc...
    They did cover all my care issues, from mental health to and including my pain management.
    Honorary Spine-Health Moderator
    Please read my medical history at: Medical History

  • I am not sure when enrollment begins again, but from what I do know, I suggest you look for a plan through the Marketplace; monthly plan fees are low, or even free in some insistence depending on your financial situation. I have Humana through the Marketplace, I pay $35 co-pay for specialist visits. Good luck!
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  • Thank you everyone!!

    Well my knees started back in 2005-2006 that was my first surgery on my right knee, then in 2011 I had surgery on both knees. 2012 back pain began, 2014 received MRI that had multiple issues, multiple herniated discs with annular tears, my nerve column is a third of the size it should be, arthritis in both knees and back to what extent I am not sure. And there were a few more issues on the results but I do not remember off the top of my head.

    I have been seeing a pain specialist for about 1.5 years which has me on oxycodone and a light workout routine with stretches.

    Surgery at this time is not an option because of the insurance situation. I'd have to do it now in order to be covered under my parents insurance but having surgery at this time is not an option maybe in the next year or two. But again I have to find out what would be the best route of insurance for a pain specialist patient. And I currently live in Illinois, Joliet area.

    I am self employed business owner so insurance through work isn't an option.
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