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DiscussionMy PCP won't refer me for specialist or authorize MRI
Spine Health | Last Active: Apr 19 9:33pm | Replies (35)Comment receiving replies
Replies to "@bebold Ah - maybe THAT is the difference - it's not Medicare requiring the referral, it..."
Medicare advantage plans have to approve everything and I heard they are refusing nearly 75% of so much stuff. Before I retired, I had BC/BS as an advantage plan since I was on SSDI. I needed a rotator cuff repair. 4 parts to the surgery and BC only approved 3 parts. Surgeon said he wouldn't go in and not fix it all. He kind of did a sneaky thing with a friend radiologist, rewrote the MRI findings to match their language better and got it all approved. I was grateful.
That's why it was so easy to get one from a walk-in clinic. Esp we have ortho walk-ins. Good luck. Be