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insurance denying surgery; what options do I have? insurance denying surgery; what options do I have?

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  #1  
Unread 02-09-2015, 04:41 PM
insurance denying surgery; what options do I have?

My insurance Co is denying coverage for my hysterectomy. They claim it's not medically necessary. Any help or advice?
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  #2  
Unread 02-09-2015, 04:59 PM
Re: insurance

I am not sure why you are having a hysterectomy but your doctor should have documentation why he/she recommends it. Have your doctor's office go to bat for you. It makes me furious that the insurance company thinks they know better than your doctor what is needed for your health.
  #3  
Unread 02-09-2015, 05:18 PM
Re: insurance

My insurance company tried denying it and I called them myself. I told them unless you want to up my pain medicine and then worry about kidneys problems in the future that I need it done because if the pain I was in for four years and my next period I just might bleed to death. Next day it was approved. Good luck!
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  #4  
Unread 02-09-2015, 05:26 PM
insurance denying surgery; what options do I have?

2 yrs ago I had 2 softball size cysts removed while having my tubes tied. About six months after my surgery I started having pain on my left size. I assumed it was another cyst but all my sonograms came up clean. My dr says I have endometriosis due to my symptoms. I finally saw an end in sight with this surgery and now my insurance says it's not medically necessary.
  #5  
Unread 02-09-2015, 05:54 PM
Re: insurance

Let your doctor know that it got denied -- they are sadly used to this sort of thing, and can call the insurer and make their argument for you. Good luck -- keep us posted on how it goes, okay?
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