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Time For Shots


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15 replies to this topic

#1 Clementine

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Posted 10 October 2007 - 06:09 AM

Has anyone had any luck getting insurance to cover their pnuemonia shot?
My pharmacy said they could run the shot (flu and pnuemonia) through my insurance and see. I wondered if maybe I should try calling my insurance provider and see if I could get it authorized since it is dr. ordered.
Thanks.
Jennifer

#2 Sweet

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Posted 10 October 2007 - 06:12 AM

My insurance did pay for my pneumonia shot. If you've already had one in your lifetime you don't need another one. They are a once in a lifetime vaccine unless you are over a certain age....can't remember the details, but you are not even close cutie.
Warm and gentle hugs,

Pamela
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#3 Patty

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Posted 10 October 2007 - 06:57 AM

Pam,
When I had my shot, my general practitioner at the time said it was only good for 5 years I think it was. At any rate my new Dr said I have to have one next year. Wonder again why each Dr has different way of doing things. A pneumonia shot should be the same all across the board.
Hugs,
Patty

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Hashimoto's thyroiditis, Limited scleroderma, Dermatomyositis. Diastolic Dysfunction, dysphagia, Fibro, restless leg. Lupus is a maybe.

#4 peanut

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Posted 10 October 2007 - 07:42 AM

Hi friends,
I was also told the pneumonia shot was good for 5 years. I got mine at my doctor's office and my insurance picked it up. I got my flu shot a few days ago and oh my goodness my shoulder is soooo sore. Last year's was no where near as painful.

peanut

You can deprive the body but the soul needs chocolate
my HMO makes me wear a helmet...

#5 debonair susie

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Posted 10 October 2007 - 08:14 AM

Ow, ow, Peanut... I don't like reading that :( !

While we're on the subject of shots... Is anyone able to tell me how much the shingles vaccines are and if medicare pays for that... or at least 80%?
The reason I ask is because my dr told me she thought they were $200.00/vaccine. On one hand, that's alot of money, yet the shingles are not a walk in the park, particularly if one were to have the worse-case scenario, or at least one repeat :blink:

Thanks and wishing ya'll a good day :)
Hugs, Susie
Special Hugs,

Susie Kraft
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#6 janey

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Posted 10 October 2007 - 08:31 AM

Susie,
I found a couple of articles on WebMD.

Understanding the Shingles Vaccine (p 3 of 3)
This one states that it will cost between $100 and $150. Apparently you only need one shot.

FDA Approves first Shingles Vaccine This article has a discussion about insurance and medicare coverage.

Hope this helps.

Big Hugs
Janey Willis
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#7 nan

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Posted 10 October 2007 - 08:37 AM

Susie,
I know somebody that got the shingles vaccine. I will ask her the cost. I am on round 2 of shingles and it's the pits. Of course, I have been lucky enough to not have them for 10 years.
take care,
Nan

#8 peanut

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Posted 10 October 2007 - 08:47 AM

I asked my rheumatologist about the shingles vaccine. He said its a live vaccine and I'm not allowed to get those... I think because I'm on immunsupressants, cyclophosphamide... but I'm not sure. We with sclero should be weary of anything that might make us sick so please ask your doctor about it...

peanut



You can deprive the body but the soul needs chocolate
my HMO makes me wear a helmet...

#9 Margaret

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Posted 10 October 2007 - 09:59 AM

<< oh my goodness my shoulder is soooo sore. Last year's was no where near as painful. >>

Peanut ,

I got a flu shot last week and my arm is still sore, too!!! I thought it was just me. I don' t remember that from years before. Gareth will get his tomorrow. Ours are both covered under insurance.....mine because of age and G's because of medical issues. It feels like that needle went all the way through to the other side!!!

Take care, Everyone.
Margaret

#10 debonair susie

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Posted 10 October 2007 - 11:12 AM

Thanks for the links to check out, Janey... I'll look at them both, shortly.

Oooh Nan :( ... I feel so bad for you... I sure hope you get over them soon.

That's really good information, peanut... Thanks!

You're not making me feel like I want to "rush" over and get that flu shot, Margaret :o .. if I could only get it BEFORE my hubby... maybe I could get some special sympathy. But... I'm sure we'll do as we always have ... and go together.
I'll just make sure I get the shot in the arm I use the most.
Margaret, I don't know your age, but I believe it was in the early 60s when the Swine flu broke out.... We all had to go and get a shot and they used a "gun"... anyway, that hurt.. to me, but then I wasn't too fussy about shots to begine with!
Take care of those arms, ladies!

Hugs, Susie
Special Hugs,

Susie Kraft
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#11 Margaret

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Posted 10 October 2007 - 01:34 PM

<<Margaret, I don't know your age, but I believe it was in the early 60s when the Swine flu broke out.... We all had to go and get a shot and they used a "gun"... anyway, that hurt.. to me, but then I wasn't too fussy about shots to begine with!


Hi Susie ,

No....I don't remember those 'guns.' I am in my early 50's but 'qualify' for the flu shot because I have a mitral valve prolapse and tricuspid regurgitation. My doctor pushed me several years ago to start and I have gotten the flu shot yearly since.

Take care, Everyone.
Margaret

#12 Sweet

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Posted 10 October 2007 - 01:42 PM

Hi all -

Here is the link to the CDC vaccine schedule for adults. If a person is between 19 -64 they may receive ONE or TWO doses of the pneumovax, (for their entire life) if you are greater than 65 you only get ONE dose (for your entire life)

So if your doctors are trying to inject you every 5 years for this, I would confront them on it.

http://www.cdc.gov/v...lt-schedule.pdf
Warm and gentle hugs,

Pamela
ISN Support Specialist
International Scleroderma Network (ISN)

#13 Jordan's Mommy

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Posted 10 October 2007 - 04:32 PM

When it comes to getting a flu shot, I believe there is a CDC "hierarchy." Those with chronic conditions are on the priority list, as are infants/toddlers, and the elderly. My HMO has always picked up the cost of the flu vaccine for both of my girls. I have emailed Dr. Lehman (a sclero expert on this site) and asked him about vaccines and immunosuppresants. He says that Plaquenil is not an immunosupresant ( but methotrexate is) and that he doesn't recommend live vaccines for those on I/s meds--however, when it comes to the flu shot, it is up to the individual, as it is not a live vaccine. There are tons of places in California that are giving the flu shot for $20, so maybe that is an option where you live, too.

Jennifer

#14 summer

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Posted 10 October 2007 - 11:37 PM

While we are on the subject, can you still get the Flu shot if you are on Prednisolone? :unsure:

Thanks
Celia

#15 LisaBulman

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Posted 11 October 2007 - 12:47 AM

My insurance company paid for my pneumonia shot and they said they are good for 5-10 years. As for the flu shot, they made me get one before I left the hospital last Ssturday. I'm not going to lie, it hurt. It is a shot that they need to get into your muscle so it is deep, but worth it. A few days with a sore arm is nothing compared to what the flu can do to you!
Good luck!

Hugs,
Lisa
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#16 Vee

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Posted 11 October 2007 - 01:18 AM

I was also told to get the pneumonia shot every 5 years. I'm gonna have to ask about this one.

As for the flu shot, my sclero specialist told me las week that it was too early for me to get it, for me to wait til Nov., which is when I usually get it anyway, I'm sure it depends on where you live. I just watched a news clip on the flu vaccine and again, they reiterated that you CANNOT get the flu from the flu vaccine, so if that's the reason that you're holding off, DON'T hold off. They did a story about the sweetest little girl, 4 years old, that died last year from the flu. Within 3 days of getting what their parents said was "just the flu". There is no "JUST" about it, it's deadly.

Git'r done!!!
Happy people don't have the best of everything, they just make the best of everything they have!

Warm and Happy to you! Vee