Insurance Company Denial

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New Member

Date Joined Jun 2013
Total Posts : 6
   Posted 6/23/2013 2:00 PM (GMT -6)   
Just denied by my insurance company. I have been speaking with the LINX manufacturer and they are urging patient appeals in addition to the doctor's peer to peer appeals. They are working closely with a patient's advocacy group. I'm going to sign up with them next week. This position taken by a number of insurance companies is a ridiculous waste of time and money with no regard to patient welfare.

Ian Victor
Regular Member

Date Joined May 2013
Total Posts : 214
   Posted 6/23/2013 5:12 PM (GMT -6)   
John-- I'm not surprised. Most insurance companies consider the LINX "experimental." It's amazing that the Nissen, (which costs significantly more) is almost always approved. Try appealing the decision. LINX is so new that there's no long-term track record regarding its efficacy- and by long-term, I mean more than a couple of years of data. Because I also have a hiatal hernia, I'm not really considered a candidate for other procedures. I'm having a Nissen wrap on August 28th. Good luck. I hope you find a mininally less invasive surgery the you insurance company will cover.
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