RSV shot or NOT

2

2cfers

New member
My son Zeke 17 months old. He had he RSV shots last winter he would have started at 6 months and ended when he was 1 year. The entire cost of the shots was covered by his insurance last year and he also had iowa Medicaid until he turned 1 year old.

This year the clinic has prior approved the shots with the insurance again but I do not know if we are going to get them. He will be 18 months when they start and 2 years when the season ends. He has minimal lung involvement and all his illness last year were related to sinus infections. He was on antibiotics about 7 times during the winter.

There is a financial concern also for use. the shots are going to be about 250 dollars a month after insurance. I am thinking maybe we dont need the shots this year. I also read the package insert and the shots are 55% effective.

Any thoughs are suggestions? I know they will be upset when we have clinic in October if we dont go ahead with the shots.

Thanks for your help


Christy
 
2

2cfers

New member
My son Zeke 17 months old. He had he RSV shots last winter he would have started at 6 months and ended when he was 1 year. The entire cost of the shots was covered by his insurance last year and he also had iowa Medicaid until he turned 1 year old.

This year the clinic has prior approved the shots with the insurance again but I do not know if we are going to get them. He will be 18 months when they start and 2 years when the season ends. He has minimal lung involvement and all his illness last year were related to sinus infections. He was on antibiotics about 7 times during the winter.

There is a financial concern also for use. the shots are going to be about 250 dollars a month after insurance. I am thinking maybe we dont need the shots this year. I also read the package insert and the shots are 55% effective.

Any thoughs are suggestions? I know they will be upset when we have clinic in October if we dont go ahead with the shots.

Thanks for your help


Christy
 
2

2cfers

New member
My son Zeke 17 months old. He had he RSV shots last winter he would have started at 6 months and ended when he was 1 year. The entire cost of the shots was covered by his insurance last year and he also had iowa Medicaid until he turned 1 year old.

This year the clinic has prior approved the shots with the insurance again but I do not know if we are going to get them. He will be 18 months when they start and 2 years when the season ends. He has minimal lung involvement and all his illness last year were related to sinus infections. He was on antibiotics about 7 times during the winter.

There is a financial concern also for use. the shots are going to be about 250 dollars a month after insurance. I am thinking maybe we dont need the shots this year. I also read the package insert and the shots are 55% effective.

Any thoughs are suggestions? I know they will be upset when we have clinic in October if we dont go ahead with the shots.

Thanks for your help


Christy
 
2

2cfers

New member
My son Zeke 17 months old. He had he RSV shots last winter he would have started at 6 months and ended when he was 1 year. The entire cost of the shots was covered by his insurance last year and he also had iowa Medicaid until he turned 1 year old.

This year the clinic has prior approved the shots with the insurance again but I do not know if we are going to get them. He will be 18 months when they start and 2 years when the season ends. He has minimal lung involvement and all his illness last year were related to sinus infections. He was on antibiotics about 7 times during the winter.

There is a financial concern also for use. the shots are going to be about 250 dollars a month after insurance. I am thinking maybe we dont need the shots this year. I also read the package insert and the shots are 55% effective.

Any thoughs are suggestions? I know they will be upset when we have clinic in October if we dont go ahead with the shots.

Thanks for your help


Christy
 
2

2cfers

New member
My son Zeke 17 months old. He had he RSV shots last winter he would have started at 6 months and ended when he was 1 year. The entire cost of the shots was covered by his insurance last year and he also had iowa Medicaid until he turned 1 year old.

This year the clinic has prior approved the shots with the insurance again but I do not know if we are going to get them. He will be 18 months when they start and 2 years when the season ends. He has minimal lung involvement and all his illness last year were related to sinus infections. He was on antibiotics about 7 times during the winter.

There is a financial concern also for use. the shots are going to be about 250 dollars a month after insurance. I am thinking maybe we dont need the shots this year. I also read the package insert and the shots are 55% effective.

Any thoughs are suggestions? I know they will be upset when we have clinic in October if we dont go ahead with the shots.

Thanks for your help


Christy
 
I

izemmom

New member
This is, unfortunatley, one of those situations where you'll never know if you made the right choice...here's what our experience was.

The first winter (Em was born in November, so, Nov. - April) Em got the synagis shot every month. She did great, hardly even the sniffles all winter, certainly not respitiry probs (except for pseudomonas). Our coverage was about the same as yours, we paid $250 each month.

THe second year rolled around, and our Pulmnologist said, well, she did so well last year and is so healthy now, let's not to the RSV shots. Ummmm, ok. It seemed strange to me since our pediatrician was SURE Emily would be reccomended by the cf team for it, and I figured, why taked chances?? But, ok, we didn't do it. It was nice to save the money. Very nice.

IT was a terrible winter. Terrible. She had ear infections constantly, sinus infections, coughed a lot, just a miserable winter. On so many antibiotics that she ended up in the hospital with c.diff. Now, I have no way to prove that the shot would have made a difference. After all, she never did get RSV exactly, but, who is to say that she wouldn't have been healthier with that extra layer of protection. And, to be fair, she was in daycare the second winter (when she wasn' t home sick or in the hospital...) and hadn't been the first winter.

All that being said, I have always regtretted not pushing to get the shot the second winter. We ended up not saving any money, and in fact, we are STILL paying off that hosiptal stay.

Who knows? We might have still had the terrible time even with the shot, but then at least I wouldn't have had this nagging "What if we could have avoided this?" feeling hanging over my head.

My perspective is "better safe than sorry." But, you know your situation and your means. It's not an easy desicion, I know. Good luck!
 
I

izemmom

New member
This is, unfortunatley, one of those situations where you'll never know if you made the right choice...here's what our experience was.

The first winter (Em was born in November, so, Nov. - April) Em got the synagis shot every month. She did great, hardly even the sniffles all winter, certainly not respitiry probs (except for pseudomonas). Our coverage was about the same as yours, we paid $250 each month.

THe second year rolled around, and our Pulmnologist said, well, she did so well last year and is so healthy now, let's not to the RSV shots. Ummmm, ok. It seemed strange to me since our pediatrician was SURE Emily would be reccomended by the cf team for it, and I figured, why taked chances?? But, ok, we didn't do it. It was nice to save the money. Very nice.

IT was a terrible winter. Terrible. She had ear infections constantly, sinus infections, coughed a lot, just a miserable winter. On so many antibiotics that she ended up in the hospital with c.diff. Now, I have no way to prove that the shot would have made a difference. After all, she never did get RSV exactly, but, who is to say that she wouldn't have been healthier with that extra layer of protection. And, to be fair, she was in daycare the second winter (when she wasn' t home sick or in the hospital...) and hadn't been the first winter.

All that being said, I have always regtretted not pushing to get the shot the second winter. We ended up not saving any money, and in fact, we are STILL paying off that hosiptal stay.

Who knows? We might have still had the terrible time even with the shot, but then at least I wouldn't have had this nagging "What if we could have avoided this?" feeling hanging over my head.

My perspective is "better safe than sorry." But, you know your situation and your means. It's not an easy desicion, I know. Good luck!
 
I

izemmom

New member
This is, unfortunatley, one of those situations where you'll never know if you made the right choice...here's what our experience was.

The first winter (Em was born in November, so, Nov. - April) Em got the synagis shot every month. She did great, hardly even the sniffles all winter, certainly not respitiry probs (except for pseudomonas). Our coverage was about the same as yours, we paid $250 each month.

THe second year rolled around, and our Pulmnologist said, well, she did so well last year and is so healthy now, let's not to the RSV shots. Ummmm, ok. It seemed strange to me since our pediatrician was SURE Emily would be reccomended by the cf team for it, and I figured, why taked chances?? But, ok, we didn't do it. It was nice to save the money. Very nice.

IT was a terrible winter. Terrible. She had ear infections constantly, sinus infections, coughed a lot, just a miserable winter. On so many antibiotics that she ended up in the hospital with c.diff. Now, I have no way to prove that the shot would have made a difference. After all, she never did get RSV exactly, but, who is to say that she wouldn't have been healthier with that extra layer of protection. And, to be fair, she was in daycare the second winter (when she wasn' t home sick or in the hospital...) and hadn't been the first winter.

All that being said, I have always regtretted not pushing to get the shot the second winter. We ended up not saving any money, and in fact, we are STILL paying off that hosiptal stay.

Who knows? We might have still had the terrible time even with the shot, but then at least I wouldn't have had this nagging "What if we could have avoided this?" feeling hanging over my head.

My perspective is "better safe than sorry." But, you know your situation and your means. It's not an easy desicion, I know. Good luck!
 
I

izemmom

New member
This is, unfortunatley, one of those situations where you'll never know if you made the right choice...here's what our experience was.

The first winter (Em was born in November, so, Nov. - April) Em got the synagis shot every month. She did great, hardly even the sniffles all winter, certainly not respitiry probs (except for pseudomonas). Our coverage was about the same as yours, we paid $250 each month.

THe second year rolled around, and our Pulmnologist said, well, she did so well last year and is so healthy now, let's not to the RSV shots. Ummmm, ok. It seemed strange to me since our pediatrician was SURE Emily would be reccomended by the cf team for it, and I figured, why taked chances?? But, ok, we didn't do it. It was nice to save the money. Very nice.

IT was a terrible winter. Terrible. She had ear infections constantly, sinus infections, coughed a lot, just a miserable winter. On so many antibiotics that she ended up in the hospital with c.diff. Now, I have no way to prove that the shot would have made a difference. After all, she never did get RSV exactly, but, who is to say that she wouldn't have been healthier with that extra layer of protection. And, to be fair, she was in daycare the second winter (when she wasn' t home sick or in the hospital...) and hadn't been the first winter.

All that being said, I have always regtretted not pushing to get the shot the second winter. We ended up not saving any money, and in fact, we are STILL paying off that hosiptal stay.

Who knows? We might have still had the terrible time even with the shot, but then at least I wouldn't have had this nagging "What if we could have avoided this?" feeling hanging over my head.

My perspective is "better safe than sorry." But, you know your situation and your means. It's not an easy desicion, I know. Good luck!
 
I

izemmom

New member
This is, unfortunatley, one of those situations where you'll never know if you made the right choice...here's what our experience was.

The first winter (Em was born in November, so, Nov. - April) Em got the synagis shot every month. She did great, hardly even the sniffles all winter, certainly not respitiry probs (except for pseudomonas). Our coverage was about the same as yours, we paid $250 each month.

THe second year rolled around, and our Pulmnologist said, well, she did so well last year and is so healthy now, let's not to the RSV shots. Ummmm, ok. It seemed strange to me since our pediatrician was SURE Emily would be reccomended by the cf team for it, and I figured, why taked chances?? But, ok, we didn't do it. It was nice to save the money. Very nice.

IT was a terrible winter. Terrible. She had ear infections constantly, sinus infections, coughed a lot, just a miserable winter. On so many antibiotics that she ended up in the hospital with c.diff. Now, I have no way to prove that the shot would have made a difference. After all, she never did get RSV exactly, but, who is to say that she wouldn't have been healthier with that extra layer of protection. And, to be fair, she was in daycare the second winter (when she wasn' t home sick or in the hospital...) and hadn't been the first winter.

All that being said, I have always regtretted not pushing to get the shot the second winter. We ended up not saving any money, and in fact, we are STILL paying off that hosiptal stay.

Who knows? We might have still had the terrible time even with the shot, but then at least I wouldn't have had this nagging "What if we could have avoided this?" feeling hanging over my head.

My perspective is "better safe than sorry." But, you know your situation and your means. It's not an easy desicion, I know. Good luck!
 
M

Mommafirst

Guest
I don't know, Christy. But you've just reminded me that I'm in the same situation as you. My daughter is almost 20 months old, and had the synagis shots all last winter. I didn't even think that this was a possibility for us this winter. We have clinic on wednesday, I guess I'll ask them.

We were very fortunate, our insurance covered all $3,000 for each shot with no co-pay!! Between 6 months of that and the vest plus a hospital stay last March, my insurance company must not be very happy with us. I guess we'll have to see if they'll cover this years.
 
M

Mommafirst

Guest
I don't know, Christy. But you've just reminded me that I'm in the same situation as you. My daughter is almost 20 months old, and had the synagis shots all last winter. I didn't even think that this was a possibility for us this winter. We have clinic on wednesday, I guess I'll ask them.

We were very fortunate, our insurance covered all $3,000 for each shot with no co-pay!! Between 6 months of that and the vest plus a hospital stay last March, my insurance company must not be very happy with us. I guess we'll have to see if they'll cover this years.
 
M

Mommafirst

Guest
I don't know, Christy. But you've just reminded me that I'm in the same situation as you. My daughter is almost 20 months old, and had the synagis shots all last winter. I didn't even think that this was a possibility for us this winter. We have clinic on wednesday, I guess I'll ask them.

We were very fortunate, our insurance covered all $3,000 for each shot with no co-pay!! Between 6 months of that and the vest plus a hospital stay last March, my insurance company must not be very happy with us. I guess we'll have to see if they'll cover this years.
 
M

Mommafirst

Guest
I don't know, Christy. But you've just reminded me that I'm in the same situation as you. My daughter is almost 20 months old, and had the synagis shots all last winter. I didn't even think that this was a possibility for us this winter. We have clinic on wednesday, I guess I'll ask them.

We were very fortunate, our insurance covered all $3,000 for each shot with no co-pay!! Between 6 months of that and the vest plus a hospital stay last March, my insurance company must not be very happy with us. I guess we'll have to see if they'll cover this years.
 
M

Mommafirst

Guest
I don't know, Christy. But you've just reminded me that I'm in the same situation as you. My daughter is almost 20 months old, and had the synagis shots all last winter. I didn't even think that this was a possibility for us this winter. We have clinic on wednesday, I guess I'll ask them.

We were very fortunate, our insurance covered all $3,000 for each shot with no co-pay!! Between 6 months of that and the vest plus a hospital stay last March, my insurance company must not be very happy with us. I guess we'll have to see if they'll cover this years.
 
R

Ratatosk

Administrator
Staff member
DS only the synnagis shots the first year. They were 100% covered, but it took a letter from our attorney to bcbs to get them in the first place. He didn't have them the second year and was fine. In fact he was healthier -- no ear or sinus infections, no wheezing, upper respiratory infections... That first year was a bad season though for pertussis, rsv and influenza.

Our doctor just wanted to make sure he was covered the first year, especially since he was in daycare. Teeny tiny newborn airways, a developing immune system... Didn't think he needed it the second year, though did stress, getting a flu shot every year, as well as having everyone in our family and close proximity to get one.
 
R

Ratatosk

Administrator
Staff member
DS only the synnagis shots the first year. They were 100% covered, but it took a letter from our attorney to bcbs to get them in the first place. He didn't have them the second year and was fine. In fact he was healthier -- no ear or sinus infections, no wheezing, upper respiratory infections... That first year was a bad season though for pertussis, rsv and influenza.

Our doctor just wanted to make sure he was covered the first year, especially since he was in daycare. Teeny tiny newborn airways, a developing immune system... Didn't think he needed it the second year, though did stress, getting a flu shot every year, as well as having everyone in our family and close proximity to get one.
 
R

Ratatosk

Administrator
Staff member
DS only the synnagis shots the first year. They were 100% covered, but it took a letter from our attorney to bcbs to get them in the first place. He didn't have them the second year and was fine. In fact he was healthier -- no ear or sinus infections, no wheezing, upper respiratory infections... That first year was a bad season though for pertussis, rsv and influenza.

Our doctor just wanted to make sure he was covered the first year, especially since he was in daycare. Teeny tiny newborn airways, a developing immune system... Didn't think he needed it the second year, though did stress, getting a flu shot every year, as well as having everyone in our family and close proximity to get one.
 
R

Ratatosk

Administrator
Staff member
DS only the synnagis shots the first year. They were 100% covered, but it took a letter from our attorney to bcbs to get them in the first place. He didn't have them the second year and was fine. In fact he was healthier -- no ear or sinus infections, no wheezing, upper respiratory infections... That first year was a bad season though for pertussis, rsv and influenza.

Our doctor just wanted to make sure he was covered the first year, especially since he was in daycare. Teeny tiny newborn airways, a developing immune system... Didn't think he needed it the second year, though did stress, getting a flu shot every year, as well as having everyone in our family and close proximity to get one.
 
R

Ratatosk

Administrator
Staff member
DS only the synnagis shots the first year. They were 100% covered, but it took a letter from our attorney to bcbs to get them in the first place. He didn't have them the second year and was fine. In fact he was healthier -- no ear or sinus infections, no wheezing, upper respiratory infections... That first year was a bad season though for pertussis, rsv and influenza.

Our doctor just wanted to make sure he was covered the first year, especially since he was in daycare. Teeny tiny newborn airways, a developing immune system... Didn't think he needed it the second year, though did stress, getting a flu shot every year, as well as having everyone in our family and close proximity to get one.
 
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