insurance precert problem for dilon

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coopfesta
Veteran Member


Date Joined Sep 2003
Total Posts : 1373
   Posted 10/27/2006 7:12 AM (GMT -7)   
Well, here we go.  I was waiting for the shoe to drop with my insurance company.  I was very happy with the unfettered access to medical scans and care I've had under GHI-HMO, but now I can't get precertified for the Dillon Scan.  I called and they said it was only for something like an endocrine carcinoma or a neurosomething.  I said it was a breast cancer diagnosis.  I have to have my doc call and appeal.  Now, which doc is the question:  my primary who didn't request it or the breast surgeon, who's not my primary, who did request it.  It's $500 and I'm going to have it either way, but sure would be nice if they paid for it, ya know?
 
"Our greatest glory is not in never falling, but in rising every time we fall." -Confucius
Don't knock on Death's Door.  Ring the bell and run.  He hates that.

Ellen


codie
New Member


Date Joined Oct 2006
Total Posts : 3
   Posted 10/31/2006 8:56 PM (GMT -7)   

YOU NEED TO HAVE YOUR BREAST CANCER SURGEON REQUEST IT SO THAT INSURANCE WILL PAY ....CODIE

 

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