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Forum -> Inquiries & Offers -> Israel related Inquiries & Aliyah Questions
Remicade infusion for sem girl?



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amother


 

Post Mon, Oct 20 2014, 8:42 am
my dd will, b''eh, be in Israel next year. She has Crohn's disease and receives a remicade infusion every 8 weeks. I have no idea where to even start to find out how I would get this to happen for her in Israel.....She would be under the sem insurance plan, which, as I recall from older dd, does not cover "preexisting conditions", even if you buy the most expensive package.

Any ideas? Thanks
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shabbatiscoming




 
 
    
 

Post Mon, Oct 20 2014, 9:21 am
amother wrote:
my dd will, b''eh, be in Israel next year. She has Crohn's disease and receives a remicade infusion every 8 weeks. I have no idea where to even start to find out how I would get this to happen for her in Israel.....She would be under the sem insurance plan, which, as I recall from older dd, does not cover "preexisting conditions", even if you buy the most expensive package.

Any ideas? Thanks
ask the sem to find out from the health insurance. you may have to find her a different insurance that will enable her these infusions.
good luck.
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OOTBubby




 
 
    
 

Post Mon, Oct 20 2014, 10:27 am
Your US insurance may cover it. When my DS with Crohns was in Yeshiva in EY, the US insurance covered everything (he didn't need Remicaid while there though). And my US doctor was able to find a doctor he recommended for him.
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amother


 

Post Tue, Oct 21 2014, 11:02 pm
Hmm....Interesting. Thank you both.

Shabbatiscoming: she hasn't even applied to any sems yet and I certainly don't want to bring it up before she's accepted Smile. If I haven't figured it out once she's accepted, that is a good idea. b/c if we can't figure it out, she can't go.

OOTBubby: thank you! What kind of treatments did your son get there? That is encouraging to even hear of an insurance that would cover this stuff overseas. We have a HMO, so I'm somewhat pessimistic, but maybe it will be possible!
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amother


 

Post Tue, Oct 21 2014, 11:53 pm
Yes your US insurance should cover it. There's a lot of paperwork involved but it can be done at Shaarei Tzedek, among other places. You may have to prepay and be reimbursed, though.
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OOTBubby




 
 
    
 

Post Wed, Oct 22 2014, 8:49 am
amother wrote:

OOTBubby: thank you! What kind of treatments did your son get there? That is encouraging to even hear of an insurance that would cover this stuff overseas. We have a HMO, so I'm somewhat pessimistic, but maybe it will be possible!


He did not receive treatment; just follow up to be sure everything was okay and to monitor medication dosage (he had major resection surgery only a little over a year before going to EY).

And, btw, since his surgery, which is now around 14 years ago (b"H he is married with 4 kids), he has been fine on maintenance meds.
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amother


 

Post Wed, Oct 22 2014, 10:59 pm
Any chance she can take humira instead? That way she can inject herself in her dorm room? And maybe you can find people going to Israel each month to bring her the refills and not involve overseas insurance at all? Anonymous in case my idea is idiotic embarrassed
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bnm




 
 
    
 

Post Thu, Oct 23 2014, 12:06 am
amother wrote:
Any chance she can take humira instead? That way she can inject herself in her dorm room? And maybe you can find people going to Israel each month to bring her the refills and not involve overseas insurance at all? Anonymous in case my idea is idiotic embarrassed
they might not be able to carry drugs if their name isn't on the prescription and its a big stress to find someone each month.
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4Sisters




 
 
    
 

Post Sat, Oct 25 2014, 10:17 pm
I'm a RN and I don't think the Humira idea is ridiculous. The thing about Rem, though, is that once you stop it, you are far more likely to have an anaphylactic reaction to it if you start it again (your body makes antibodies to it), so it's one of those meds that, once you're on it, you're on it until it stops working for you, or you have a severe allergic reaction to it.

Since OP has a while until dd goes, though, that would be something to consider if dd needs to change treatment course before going to seminary.
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amother


 

Post Sun, Dec 21 2014, 7:21 am
OP here: our US insurance said they absolutely would not even consider covering it.....Back to the drawing board Sad
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ROFL




 
 
    
 

Post Sun, Dec 21 2014, 7:26 am
I would fight your insurance If your child went yo college in Montreal they would still be covered I have aetna insurance and they cover my kids out of the country ( Israel, Brazil, Italy etc)

Just thought of something If your insurance is a Medicaid one then they don't have to cover it . I know Medicare does not cover out of the country either.
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PAMOM




 
 
    
 

Post Sun, Dec 21 2014, 8:34 am
Can you appeal the insurance company 'a decision ? Your best bet probably is investigating an alternative insurance plan for Israel. Are there student plans you can get here? Trying googling. "Health insurance for students studying abroad." I'm sorry. I know this is a tough one. However, there are good Crohns specialists in Israel--several of dd's friends have had to consult. Your dr will
know or contact the Crohns and Colitis Foundation to ask.
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amother


 

Post Fri, Dec 26 2014, 10:47 am
How often does she go for infusions? Do you know how much they would charge without insurance? It is possible that you can submit a claim to your insurance after the infusions and send the paper work to US insurance and it will apply toward your out of network deductible.
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amother
Brown


 

Post Sun, Jan 01 2023, 4:36 pm
Has anyone been successful at sending a child on Remicade to Israel for the year?

My son with crohns would love to go for yeshiva.
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PinkFridge




 
 
    
 

Post Sun, Jan 01 2023, 4:43 pm
amother Brown wrote:
Has anyone been successful at sending a child on Remicade to Israel for the year?

My son with crohns would love to go for yeshiva.


I understand why you posted this here but I'd start a new thread, and write for son in yeshiva in the subject line. You can include a link to this thread and hope that some of the posters from years back see this too.

Hatzlacha!
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amother
Pistachio


 

Post Sun, Jan 01 2023, 5:14 pm
amother Brown wrote:
Has anyone been successful at sending a child on Remicade to Israel for the year?

My son with crohns would love to go for yeshiva.

MSG helps navigating these things for Americans in Israel.
https://msgil.com/who-we-are
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amother
Stonewash


 

Post Sun, Jan 01 2023, 9:07 pm
First make sure the meds & dosages are the same in Israel. As the RN above said once someone goes off remicaid they can’t go back on it. And if your child is doing well that may not be worth it. Hatzlacha! ( a mom with a child on remicaid)
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