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Veteran Member

Date Joined May 2003
Total Posts : 9448
   Posted 7/15/2008 12:03 AM (GMT -6)   
Medical Mutual of Ohio, the state's oldest and largest health insurance company serving more than 3.9 million individuals in Ohio and South Carolina, has updated its capsule endoscopy policy effective May 9, 2008. Under the new guidelines, Medical Mutual will allow physicians to use PillCam SB as a primary test (standard endoscopic procedures and or SBFT are not required) for symptoms indicative of small bowel tumors or Crohn's disease. Another change is that Medical Mutual will now allow the use of PillCam ESO in the evaluation of esophageal varices in patients who have esophageal varices or portal hypertension and when esophagogastroduodenoscopy (EGD) is contraindicated. The company also announced Medical Mutual's further policy expansions to include the use of the Agile patency capsule used to verify adequate patency of the gastrointestinal tract in patients with known or suspected strictures prior to the administration of the PillCam video capsule.
Prior to this update, PillCam capsule endoscopy of the small bowel under the Medical Mutual of Ohio policy could be used only after a negative upper and/or lower endoscopy to diagnose disorders such as Crohn's disease, celiac disease, benign and cancerous tumors, ulcerative colitis as well as other disorders.
Hopefully other health insurance companies will soon follow suit and there will be less hassle for all of us to enjoy the benefits of this procedure!!!!! yeah yeah yeah yeah yeah yeah yeah yeah yeah

Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.

map lady
Regular Member

Date Joined Feb 2008
Total Posts : 154
   Posted 7/15/2008 11:18 AM (GMT -6)   

YAY  :D :D :D

I don't have them for my insurance, but I can't wait till they prove that it is money-saving and therefore motivate other insurers change their practices.

Veteran Member

Date Joined Oct 2004
Total Posts : 3932
   Posted 7/15/2008 1:53 PM (GMT -6)   


Veteran Member

Date Joined May 2005
Total Posts : 511
   Posted 7/15/2008 6:08 PM (GMT -6)   
That's awesome!!! I don't have them either but hopefully this leads to something!!!
Living with Crohn's Disease since Jan./2000 but had a few years prior
I'm a true Crohnie with IBS too
Meds I have tried:  Too many to list- LOL
Meds currently on:  Prednisone 20mg tapering  Back up to 30mg  :-(
                           Methotrexate injections once a week 25mg
                           Folic Acid 5mg once a week
No Surgeries

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