{"id":3393,"date":"2004-06-24T13:14:01","date_gmt":"2004-06-24T13:14:01","guid":{"rendered":"https:\/\/kweaver.org\/diabetes\/suing-hmos\/"},"modified":"2004-06-24T13:14:01","modified_gmt":"2004-06-24T13:14:01","slug":"suing-hmos","status":"publish","type":"post","link":"https:\/\/kweaver.org\/diabetes\/suing-hmos\/","title":{"rendered":"Suing HMOs"},"content":{"rendered":"<p><a title=\"DB's Medical Rants \u00bb Patient's rights and managed care\" href=\"http:\/\/medrants.com\/archives\/2004\/06\/24\/patients-rights-and-managed-care\/\">DB&#8217;s Medical Rants \u00bb Patient\u00e2\u20ac\u2122s rights and managed care<\/a><\/p>\n<p>And of course, this is one that I&#8217;m going to be on the side of &#8212; if the doctor orders, the insurance company should pay.<\/p>\n<p>I feel 100% better because of my pump.  The cheaper alternatives just weren&#8217;t doing it for me.<\/p>\n<p>Insurance should cover it.<\/p>\n<p>There is a deal going on now &#8212; the insurance company denied a claim on a CPA machine because my doctor didn&#8217;t show medical necessity.  Who requests a CPAP machine for someone who doesn&#8217;t need one?<\/p>\n<p>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.<\/p>\n<p>The rest of the issue is that the insurance companies tend to deny new masks unless the doctor&#8217;s have proof that the patient is compliant.  Bit of a catch 20\/20 here.  At least we&#8217;re talking $600 and not $6000.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>DB&#8217;s Medical Rants \u00bb Patient\u00e2\u20ac\u2122s rights and managed care And of course, this is one that I&#8217;m going to be on the side of &#8212; if the doctor orders, the insurance company should pay. I feel 100% better because of my pump. The cheaper alternatives just weren&#8217;t doing it for me. Insurance should cover it. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[],"class_list":["post-3393","post","type-post","status-publish","format-standard","hentry","category-in-the-news"],"_links":{"self":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/posts\/3393","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/comments?post=3393"}],"version-history":[{"count":0,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/posts\/3393\/revisions"}],"wp:attachment":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/media?parent=3393"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/categories?post=3393"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/tags?post=3393"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}