I don't think anyone I've talked to has had a good thing to say about an insurance company but we still flock to them. Actually, given the amount we pay to the insurance company, I am sure some of us come out ahead. Then again, are medical prices really that fair?
So the precert for the CT scan was rejected by the administrative front to the insurance company. The CT scan and its partner the PET scan are used (in the arena of cancer) to determine whether the cancer has spread to any other parts of the body. The bone scan does something similar but looks specifically at the skeletal structure. So if you are ok with the bone scan why would you deny the CT scan? From what I read it's to prevent the use of CT scan as a means to diagnose/classify a condition.
An example of this would be going to the doctor with knee pain and immediately getting an MRI. As opposed to perhaps performing other (read: less expensive) tests first. My question here is, if Lynn has already been diagnosed with cancer and this would help us classify the severity (metastasis or spreading of the cancer makes what Lynn has a stage IV cancer as opposed to a stage III cancer), why would you deny the scan?
I can understand trying to prevent the abuse of technology, but at the same time why? Why does it cost so much? It's almost elitist, but I guess once again we cater to big companies--I mean the manufacturer of the equipment as well as the insurance company here. Do we need to pay doctors $250/hr? I guess if we add it all up, there is a price on the human life---we just need access to the details.
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2 comments:
Thanks for putting this together, you guys. We love you guys.
You are two of the bravest people I know and your candor is a beautiful thing.
Insurance companies are quite something. Some combination of killing them with honey and annoying the shit out of them seems to work. Try try and try again also seems to work.
My mom just had to fight hers. She was supposed to be scanned every 6 months for five years because of the recurrance rate in her cancer. Everyone agreed. But after three years of clean scans the insurance said they wanted to cut her out two years early. Hijinks ensue. They are still paying (for now).
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