DB’s Medical Rants » Patient’s rights and managed care
And of course, this is one that I’m going to be on the side of — if the doctor orders, the insurance company should pay.
I feel 100% better because of my pump. The cheaper alternatives just weren’t doing it for me.
Insurance should cover it.
There is a deal going on now — the insurance company denied a claim on a CPA machine because my doctor didn’t show medical necessity. Who requests a CPAP machine for someone who doesn’t need one?
Okay, the true issue is that my CPAP machine was over 5 years old and we all agreed it needed to be replaced since the newer technologies have compliance information and apnea information.
The rest of the issue is that the insurance companies tend to deny new masks unless the doctor’s have proof that the patient is compliant. Bit of a catch 20/20 here. At least we’re talking $600 and not $6000.