PCOS-MEDICATION Messages for October, 2001: Re: Anybody Having problems with there insurance & PCOS

Re: Anybody Having problems with there insurance & PCOS

From: Jen (anonymous@obgyn.net)
Wed, 3 Oct 2001 18:18:19 -0500 (CDT)

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In reply to: Patrick: "Anybody Having problems with there insurance & PCOS"

At Mon, 1 Oct 2001, Patrick wrote: >
>Hey I was wondering if anybody is having problems with there insurance
>wanting to pay for there treatment in PCOS? My insurance is saying the
>only treatment they will pay for is "having the ovaries scraped". They
>say that according to the AMA this is the only acceptible treatment. My
>wifes OB/GYN has her taking a ton of meds then want two ultra sounds
>done a month. The insurance say this is unexeptable and is considered
>part of prep for invitro. My wife and I can't afford invitro so why
>would we be preping for it knowing our insurance does not pay invitro.
>My wife found out today that we have a $1100.00 bill at our OB/GYN that
>the insurance is denying to pay and the DR office won't let us continue
>until this is settled. If you have any helpful info please HELP.
>

I would appeal it if I were you. You have a right to an appeal, and if the insurance company won't accept your appeal, I'd go to the state board that oversees them. They are working with some dangerously outdated information. I think the procedure they are talking about is either wedge resection or ovarian drilling, both of which are surgical in nature and not recommended as a first try for most of us.

Find out the appeal prodedure for your insurance, and get started right away. The longer you wait, the more the bills will pile up.

-- Jen R.

email welcome at: jennyred@nospam.ivillage.com (note: to send me an email, take out the "nospam." I put in my email address. That's in there for the spam-bots.)

Next message: Dana: "Re: Painful periods-Whats the point of a period?"
Previous message: Jen: "Re: Confused about medication"
In reply to: Patrick: "Anybody Having problems with there insurance & PCOS"

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