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LoveMyBubbaBoy 2 kids; Michigan 3189 posts
15th Jun '13

<blockquote><b>Quoting Jeeper:</b>" I say see what the pediatrician says maybe with a referral your insurance will allow more visits. You ... [snip!] ... have to go more than once every other year so the insurance will have to work something out so she can see them more often. "</blockquote>



And this. My sister's eye appointments with the specialist were different than our ones with the optometrist.

lolajessup 3 kids; 1 angel baby; Beaverton, Michigan 44071 posts
15th Jun '13

<blockquote><b>Quoting Jeeper:</b>" I say see what the pediatrician says maybe with a referral your insurance will allow more visits. You ... [snip!] ... have to go more than once every other year so the insurance will have to work something out so she can see them more often. "</blockquote>



Gotcha. So regular routine exams are every two years but with specialist referrals then the rules change.

lolajessup 3 kids; 1 angel baby; Beaverton, Michigan 44071 posts
15th Jun '13

<blockquote><b>Quoting Jeeper:</b>" I say see what the pediatrician says maybe with a referral your insurance will allow more visits. You ... [snip!] ... have to go more than once every other year so the insurance will have to work something out so she can see them more often. "</blockquote>




But then this kind of changes when I need to go. Cause if I take her at 6 mos and everything is "fine" then I can't get them checked again unless u pay for it. Ill call te eye dr and see what they recommend. I've went there my whole life so they're pretty good with working with me. I took her in already when she was a couple months old and they didnt charge me.

Jeeper 1 child; Orlando, Florida 2287 posts
15th Jun '13
Quoting lolajessup:" <blockquote><b>Quoting Jeeper:</b>" I say see what the pediatrician says maybe with ... [snip!] ... "</blockquote> Gotcha. So regular routine exams are every two years but with specialist referrals then the rules change."

Yep. I had to take a whole class on that. I am studying medical billing a coding lol. Call your insurance and see how they treat specialists you may not even need a referral I don't for my insurance but DD does for hers. I see an ophthalmologist because my iris became inflamed and any time I have eye pain I have to get it rechecked and DD sees and ENT for her ears they just put tubes in them. A lazy eye isn't an optometrist they just deal with glasses (kind of a waste if you ask me because an ophthalmologist can do the same thing lol) you might be able to take her now if you think you need to.

lolajessup 3 kids; 1 angel baby; Beaverton, Michigan 44071 posts
15th Jun '13

<blockquote><b>Quoting Jeeper:</b>" Yep. I had to take a whole class on that. I am studying medical billing a coding lol. Call your insurance ... [snip!] ... you ask me because an ophthalmologist can do the same thing lol) you might be able to take her now if you think you need to. "</blockquote>



So if she doesn't need a referral we could just see an ophthalmologist from the get go?

Jeeper 1 child; Orlando, Florida 2287 posts
15th Jun '13
Quoting lolajessup:" <blockquote><b>Quoting Jeeper:</b>" Yep. I had to take a whole class on that. I am ... [snip!] ... you need to. "</blockquote> So if she doesn't need a referral we could just see an ophthalmologist from the get go?"

Yep as long as she doesn't need a referral. If she does I am sure your pediatrician would be happy to give you one.

lolajessup 3 kids; 1 angel baby; Beaverton, Michigan 44071 posts
15th Jun '13

<blockquote><b>Quoting Jeeper:</b>" Yep as long as she doesn't need a referral. If she does I am sure your pediatrician would be happy to give you one."</blockquote>



Ok thanks.

username1 1 child; Chicopee, MA, United States 30921 posts
15th Jun '13

im nervous to hear what the eye doctor has to say next week at cams checkup. i mean the glasses he wears daily helps it, but i still notice it. weve done the patch in the past but theres never going to be a big improvement. i just really hope that one day they dont say hes going to need surgery to correct it

lolajessup 3 kids; 1 angel baby; Beaverton, Michigan 44071 posts
15th Jun '13

<blockquote><b>Quoting

username1 1 child; Chicopee, MA, United States 30921 posts
15th Jun '13
Quoting lolajessup:" <blockquote><b>Quoting
username1 1 child; Chicopee, MA, United States 30921 posts
15th Jun '13

just makes me wonder if they would have referred me to an eye doctor sooner and if we patched it earlier on when his eyes were developing, if it would have changed anything

LoveMyBubbaBoy 2 kids; Michigan 3189 posts
15th Jun '13

<blockquote><b>Quoting

Christan_89 2 kids; Grapevine, Texas 8043 posts
15th Jun '13

My niece started patch therapy at 2 and she's 7 now and still wears it, but only at night. It's almost completely corrected! You can BARELY tell, and only if you already know about it. Good thing is that it CAN be corrected. No surgery, etc. it's okay, mama! There are worse things that could happen. :)

Slo2250 1 child; Rochester, New York 160 posts
15th Jun '13

I'm going through this with my son right now! He will be 9 months next week and at his 6 month appointment my pedi thought his eye was turning in. She gave me a list of specialists to go to and I was worried about paying. Our insurance is great except it doesn't have any eye coverage. I called the specialist and talked to the receptionist and explained the situation and asked how much the first appointment would cost so we could plan. She said that they bill it under a MEDICAL issue. It's not like a regular eye exam that my husband and I go to.



My pedi had mentioned a patch would probably be used to try and correct his eye, but after meeting with the specialist at the end of May he prescribed glasses, which we did have to pay out of pocket for. We go back July first to see if they are working and if he is showing no improvement then he will start to discuss surgery because the younger you get it corrected the higher chance of not needing medical intervention later in life. We did get the bill for the first specialist appointment and we ended up paying $200, but it was covered because it was for a medical reason.



I hope my story helps and makes sense! Good luck :-)

homes cool TTC since May 2014; 2 kids; 2 angel babies; Indiana 61358 posts
15th Jun '13

I haven't read all the comments, but a little girl who used to come to CC (the homeschool co-op I worked at) she had a lazy eye. She had to wear an eye patch for a certain amount of time and stuff. She was 13 months.