Insurance denies bloodtests!

[Spyke]

As if I didn't have enough BS to deal with. My insurance co sent me a letter stating that all my blood tests and dr. visits relating to HRT is not covered. I called them to see what the problem was and he said, "We do not cover fertility treatments, and thats what this was for, right?"

I told this blockhead that I had a vasectomy 4 years ago and don't plan on any more kids. Problem was I was feeling tired, crabby, gaining fat etc so my doc wanted to check test levels.

Guess the billing people at the dr are gonna work it out but this is just more crap to deal with

[spywizard]

yep, if they can deny it, they will ...

[Ufa]

Sorry, Insurance Carriers were invented to take premiums and deny claims.

[elite2kr]

Sorry, Insurance Carriers were invented to take premiums and deny claims.

**** those bastards

[bringndaheat]

Hate to say it but typical!!...... It sounds like the paperwork was filed wrong....on there part......fertility????WTF

[Ufa]

Makes me sick to think of what they would do if the claim was big bucks.
I sincerely hope you prevail.

[UpstateNY]

All your Dr. has to do is order a complete work up and if asked why, tell them it's your annual physical or the he's monitoring you for whatever. Another option is to "evaluate" another Dr. in your plan and have him order the bloodwork as part of his patient eval. These are just 2 ways I've been told of. I will see what else I can get out of some people I know in the Ins biz and get back to you. If you want, email me. Your Dr. can contact them and tell them(the truth) it isn't about fertility, it's the main male hormone and he's concerned about a poss. deficiency. The symptomolgy requires the proper bloodwork. If he thinks you have gyno. he'd have to order the bloodwork, that's not fertility related. See where I'm going with this? Don't give up, we'll get you through it. Besides, there is always an appeal process but having your Dr explain to the ignorant fools is the fastest and easiest way.
R.

[comradebillyboy]

All your Dr. has to do is order a complete work up and if asked why, tell them it's your annual physical or the he's monitoring you for whatever. Another option is to "evaluate" another Dr. in your plan and have him order the bloodwork as part of his patient eval. These are just 2 ways I've been told of. I will see what else I can get out of some people I know in the Ins biz and get back to you. If you want, email me. Your Dr. can contact them and tell them(the truth) it isn't about fertility, it's the main male hormone and he's concerned about a poss. deficiency. The symptomolgy requires the proper bloodwork. If he thinks you have gyno. he'd have to order the bloodwork, that's not fertility related. See where I'm going with this? Don't give up, we'll get you through it. Besides, there is always an appeal process but having your Dr explain to the ignorant fools is the fastest and easiest way.
R.

My regular doctor ordered a buch of extra hormone testing as part of my last annual physical and my insurance would not cover the hormone portions of the blood work. Maybe if I had gone to an endrocrinologist they would have paid. Odd because my doctor thought I might have low test and wanted to check. It wasn't low enough for her to put me on HRT so I went the Florida anti aging clinic route.

[zaggahamma]

My regular doctor ordered a buch of extra hormone testing as part of my last annual physical and my insurance would not cover the hormone portions of the blood work. Maybe if I had gone to an endrocrinologist they would have paid. Odd because my doctor thought I might have low test and wanted to check. It wasn't low enough for her to put me on HRT so I went the Florida anti aging clinic route.

my insurance denied my first testosterone check and i called the dr. office and made sure they coded it properly and then they PAID.....the nurse was a freak....she didn't even say hello, boo, or nothing....she was like, "have a seat...give me your arm, squeeze the ball" REAL FVCKIN PERSONALITY....you know the type....i hate those punk a$$ receptionists and nurses that think their running the place...and she fvcked up the code that caused the insurance not to pay....so, you might give it another try....it's worth it...those blood tests are costly...good luck

[fossilfuel7]

That is a bunch of crap....but does not surprise me at all.

[Ufa]

my insurance denied my first testosterone check and i called the dr. office and made sure they coded it properly and then they PAID.....the nurse was a freak....she didn't even say hello, boo, or nothing....she was like, "have a seat...give me your arm, squeeze the ball" REAL FVCKIN PERSONALITY....you know the type....i hate those punk a$$ receptionists and nurses that think their running the place...and she fvcked up the code that caused the insurance not to pay....so, you might give it another try....it's worth it...those blood tests are costly...good luck

Excellent post! Don't give up!

[zaggahamma]

word Ufa...I know you got those nurses eatin out of your hand...you ever get any to come over to give shots?

[nalbano34]

my insurance company did the same thing.....all not worth shit now!!!! I am not sure if that is the way to go in my opinion.....legal that is.