I could either scream, cry, or eat a large carton of ice cream. Just received a letter saying that because the ct scan was not pre-certified, insurance will not pay the $3800. Last year it was the colonoscopy that they said they would not pay. We successfully appealed that one. So this year, I called to see if that needed to be pre-cert. and was told no. Then I get this letter denying the ct. Do they just pick one thing each year, preferably, an expensive one, to decide to deny? Now I'm in a panic about the small surgery to remove the "suspicious lesion" from my bladder. What if they decide they don't want to pay that? I was delighted it turned out, on removal and path, not to be malignant. I may end up paying 15K just to find out all is well.
I guess the big lesson is to call the insurance company before every d**m test is run to be sure they can't weasel out. After all, it might be their new denial item for that year.
I guess the big lesson is to call the insurance company before every d**m test is run to be sure they can't weasel out. After all, it might be their new denial item for that year.