Wednesday, January 22, 2014

New precedent for insurance coverage of Lyme treatments

UPDATE: I've been reading on the web that this is possibly erroneous in its conclusion. This case may not affect anything regarding the insurance coverage for Lyme patients. I'm looking into it.
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-Bob

This just in:

Please post, blog, like, circulate this article.

VICTORY! 
CASE #09-CV-1039MCA GLIBOWSKI VS. U.S. OFFICE OF PERSONNEL MGMT.

History was made, and has set a precedent, for all Lyme disease patients in a lawsuit, in which attorney, William L'Esperance, a longtime part of the Lyme Disease United Coalition (LDUC), has won a case where the Office of Professional Management (OPM), on the side of the insurance company, has been overruled.

The Lyme disease patient, in the lawsuit, submitted bills for hundreds of medical services, treatments, and tests.  The court ruled that the Lyme disease patient wins the case without regard to the medical necessity of the patient; or whether the medical treatments or tests were medically necessary or experimental or investigative.

The case is GLIBOWSKI VS. US OFFICE OF PERSONNEL MGMT., 09-CV-1039MCA (US DISTRICT COURT, DISTRICT OF NEW MEXICO).

The case is sealed.  However, attorney William L'Esperance has filed the case and outcome with the United States Federal Courts to set precedence to aid all Lyme disease patients in lawsuits against their insurance companies, and OPM, for not covering the ILADS guidelines or Dr. Burrascano's guidelines in treatment of Lyme disease.

What does this mean to each of us?
  1. The door has opened for Lyme-treating doctors to accept insurance -- once all is established in U.S. Federal Court.  (I will keep you posted about the advance of this outcome.)
  2. You may now sue your insurance company for past bills not covered or reimbursed by insurance.  The OPM cannot hold you back -- in other words, the IDSA'S guidelines are no longer accepted.
To contact our hero, attorney Bill L'Esperance:

e-mail:
walesperance@wwdb.org

snail mail:
William L'Esperance, Counselor at Law
P.O. Box 90668
Albuquerque, NM 87199


William L'Esperance does not want to take on new clients.  He is willing to be a resource for out-or-state attorneys handling similar cases.

Please send notes of thanks to our hero, Bill L'Esperance.We are winning the battle --
One step at a time --

Judith Weeg, President LDUC
Office: 800-311-7518
Fax: 888-746-3810
E-mail: Lymeinfo@LDUC.org  
Website: www.LDUC.org
P.O. Box 86
Story City, IA 50248

Our Motto: "Whoever destroys a soul, it is considered as if he destroyed an entire world.  And, whoever saves a life, it is considered as if he saved an entire world."  [Talmud]

4 comments:

  1. And his name means "William the Hope"! (in French)

    ReplyDelete
  2. Please help hold the CDC accountable. If you have been injured by misdiagnosis or misinformation from the CDC, you may be entitled to a cash reward.

    http://www.change.org/petitions/rep-cathy-mcmorris-rodgers-please-join-reavscdc-as-a-co-plaintiff-or-supporter

    ReplyDelete
  3. So does this include if your Elisa test/CDC said you were negative for LD, but, your Igenex proved you are positive for it???(or still only those patients with a CDC positive?)

    ReplyDelete

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