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has anyone had insurance deny if u have another option but u choose not to take it has anyone had insurance deny if u have another option but u choose not to take it

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  #1  
Unread 07-03-2008, 03:37 PM
has anyone had insurance deny if u have another option but u choose not to take it

the dr. said i could use the provera for my heavy bleeding and and multiple periods a month and horrible pain and also cysts or the mirena iud. i have used the depo provera before a few yrs ago and it made me whacky and gave me horrible periods for months straight with no break.i was a pharmacy tech for 5 yrs and i argued with this dr and i told him it is the same thing just a pill form i can't take it. he said it isn't depo,i felt like calling him an idiot. i don't know what to do. i just got off the phone with my insurance and they said we haven't got back the approval yet it hasn't gone thru clinical yet.i know they are gonna deny because of that.i don't want a bandaide for a problem either in reference to the mirena iud plus i heard of such of a high failure rate.
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  #2  
Unread 07-03-2008, 06:56 PM
has anyone had insurance deny if u have another option but u choose not to take it

if anyone lives in the central texas area can they recommend a different gyn for me maybe? it is the waco/temple/killeen or even austin area thanks
  #3  
Unread 07-04-2008, 04:20 PM
has anyone had insurance deny if u have another option but u choose not to take it

Hi Daiseyjean

I'm sorry you are hurting and having such heavy bleeding. I've been there and know what that's like. The nurse practitioner I used to go to had me do a trial of prometrium to see if it would eventually help my periods, but it made them so much worse that I couldn't stay with it long enough to see if it would help. I didn't hear about Mirena, however, until after my hyst - when one of my sisters got it. < She had a sudden onset of some very scary neurological problems on BCP, so had to go off them immediately. Both her GYN and her neurologist felt Mirena would be a safe alternative for her since it's delivered right to the uterus. She has done very, very well on Mirena.
She hardly has a period now - if she does, a pantyliner takes care of it.

Keep in mind that the opinions you read here are skewed because this is a hysterectomy site. The women who've had success from alternatives to hysterectomy are usually off enjoying their improved health rather than posting here. I hope you are a success story if you do decide to try it. Here's a link about how Mirena works: MIRENA & YOUR MENSTRUAL CYCLE I hope this helps.

We can't post doctor names on the boards here, but if a member has info to share with you, they can do so via a private message by clicking on your username - or you can check out: SUGGEST A DOCTOR, where some of our members list their docs & you can look by state.

My other sister had fantastic success from an endometrial ablation. I know alternatives don't work for everyone, but they definitely *do* work for some. The only way for me to know if I could be one of them was for me to try. It was well worth it to me because only then was I sure that major surgery and major risks were even necessary.

After my hyst, I developed a 3rd degree rectocele < which required a very painful surgery and a long recovery. Now, I have a cystocele and wear a pad constantly b/c of severe stress incontinence. So.... I'm very glad I tried what I could to avoid a hysterectomy, otherwise I'd probably be blaming myself and wondering if these prolapses could have been avoided had I tried other alternatives first.

Getting a second opinion ( or even third) is a good idea with any major medical decision. None of us have a crystal ball, but it makes sense to try the least invasive alternatives first, for those who are good candidates. (Not everyone is.) Good luck with your decisions, finding the right doctors and relief from your symptoms.

Whatever you decide, we'll be here for you.
Beth
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