Bloodwork to test for PCOS not covered by insurance! - Page 2

elocinintherain · 04-22-2008, 03:56 AM

I would definitely call the doc and have them change the coding. Basic bloodtests should be covered, especially when they are testing things thyroid, metabolic panels, etc. If your doctor checked hormonal levels, then the office might have entered "infertility" type codes, which most companies won't pay for. I have medicare through a crappy Advantage plan, and the docs are really good about making sure that nothing relates to fertility, but instead "obesity" and "hirsutism" and such.

StarofEvening · 04-22-2008, 05:17 AM

That is just ridiculous. I agree with everyone else, you should certainly appeal their decision.

Insurance companies are evil. Bah.

04-22-2008, 05:17 AM	#17 (permalink)
StarofEvening S@ssy and Uncensored! Join Date: Mar 2008 Location: Savannah, GA Posts: 95 My Mood: Points: 346.49 Bank: 1,842.29 Total Points: 2,188.78 Donate	That is just ridiculous. I agree with everyone else, you should certainly appeal their decision. Insurance companies are evil. Bah. __________________ To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts. To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts. Show me the Skinny!

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04-22-2008, 03:56 AM	#16 (permalink)
elocinintherain I've Got Issues Join Date: Mar 2007 Location: USA Posts: 255 My Mood: Points: 5,147.26 Bank: 29,100.83 Total Points: 34,248.09 Donate	I would definitely call the doc and have them change the coding. Basic bloodtests should be covered, especially when they are testing things thyroid, metabolic panels, etc. If your doctor checked hormonal levels, then the office might have entered "infertility" type codes, which most companies won't pay for. I have medicare through a crappy Advantage plan, and the docs are really good about making sure that nothing relates to fertility, but instead "obesity" and "hirsutism" and such.