Thanks for all of the suggestions. I have actually exhausted all appeals and given my Dr. all of my paperwork so the he could "help" get it covered. What I found out Friday was that when I told him about
the insurance problem, he made a note in my chart that I could not have any more injections until I was released by my endo and removed from Human Growth Hormone treatment. This will NEVER happen, as the treatments are forever. We discussed this treatment fully at my appointment and he had no problem with anything....he even asked if I wanted to go back and get tble he nerves we were unable to do the last time. That's when I told him about
the insurance and he must have made the note. He NEVER told me anyting about
not doing any more injections until I was released or stopped my HGH meds. The only way I found out was because I called them to see if I could come in for an injection to help with the nerve pain in the last facet joint because it had gotten really bad. I have a walk-in/pick-up script
tomorrow, but you don't see anybody but the receptionist then. I just wanted an appointment before my next "real" one in three months. That's when the nurse called me back and told me what the notes said. I was shocked!
I'm starting to think this is just an "insurance won't pay so you won't get an injection" type of thing rather than a medical conflict thing. All of my Dr's are completely aware of all medications and diagnoses I have been given and all have agreed on treatment paths.
This was really heartbreaking, but I'm afraid it's meds only from now on (unless something changes). I just hope they won't do away with that. Tomorrow may be a surprise UA and I have been using the Voltaren Gel of my husband's. It was documented in all files, however, that I was to use it until it was gone and then any one of my Dr's would write a script for it if it worked (which it does quite well). With the notes they have made, though, it makes you wonder what will happen next.
I'm not going to let myself borrow trouble tonight. What will be will be and I'll have to deal with that when the time comes.
I just though you guys might need to know that they can go back and deny something that was already approved before the procedure because they have changed their minds.