My insurance company is wearing me out. I have had a pain in my lower ribs, right below my right pec for about 3 months. My doctor has done x-rays and blood work and it shows nothing. He put in for a CT scan and insurances denied it. This pain is spreading all the way around my body, about where my diaphragm is and is there 24/7. It does not hurt to the touch but at times is so bad that it doubles me over. The insurance does not believe a CT scan is needed. I guess I will now appeal and hope to get it approved so that I can figure out why I have constant pain. The doctor is the “expert” and I pay insurance to help pay for his expertise in diagnosing and treating. Insurance is a crock of….
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I had neck surgery back in 2015 and got it pre-approved before hand. After I had surgery I received bill from doctor saying insurance wasn’t going to pay because insurance called it exploratory surgery. I had artificial disc replacement. I called doctor and they said they would resubmit it. Once again I get a bill. So I call doctors office again and they told me not to worry about it. Not sure if Dr wrote it off or they settled with insurance some how, because I never heard anything else about it. Sad you have to go to battle with them.
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Going through something similar with my son. Dr wants MRI on his wrist, but insurance won't pay until they've tried steroid injections and physical therapy. I don't know how he's supposed to do physical therapy, if we don't know what the issue is. Been dealing with this crap for over 3 months now and it looks like he's going to miss spring season of tennis.
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Originally posted by Muskles View PostGoing through something similar with my son. Dr wants MRI on his wrist, but insurance won't pay until they've tried steroid injections and physical therapy. I don't know how he's supposed to do physical therapy, if we don't know what the issue is. Been dealing with this crap for over 3 months now and it looks like he's going to miss spring season of tennis.
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Glad a tbher jumped in. I was denied a drug 4 years ago as BCBS wanted a fail first process when all research showed the biologics were 10x better. I bought my first dose while my doctor and pharmacist got on them. They approved in less than 3 weeks and zero issues since. Yes, it is a business with very few reasonable folks on the front lines.
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Originally posted by kruppa24 View PostI had neck surgery back in 2015 and got it pre-approved before hand. After I had surgery I received bill from doctor saying insurance wasn’t going to pay because insurance called it exploratory surgery. I had artificial disc replacement. I called doctor and they said they would resubmit it. Once again I get a bill. So I call doctors office again and they told me not to worry about it. Not sure if Dr wrote it off or they settled with insurance some how, because I never heard anything else about it. Sad you have to go to battle with them.
This just happened to me after my hand surgery back in October
Paid my full deductible before I walked in and asked several times if I would owe anything else and the answer was no, now I’m getting bills. I used to care and I’d at least call to try and straighten it out. Not anymore, bills go straight into the trash.
The insurance companies and the doctors made their bed, now they can lie in it.
The plain fact is the medical system has completely gone to ****z
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