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This is not uncommon unfortunately. I’m guessing you’re on an advantage plan or a PPO unfortunately. Contact the physicians and ask them to write a letter and you too need to write a letter to your insurance explaining how bad your situation is. Your insurance is weighing the cost of your medication monthly vs. the much higher cost of surgery and rehab. Don’t take it lying down. Your insurance may have an ombudsman you can speak with also to state your case. And also call your insurance company too and complain.
Replies to "This is not uncommon unfortunately. I’m guessing you’re on an advantage plan or a PPO unfortunately...."
Wow. I've always been on original Medicare, and more and more, doctors are refusing to take Medicare Advantage plans, so I wouldn't consider them. I have never had original Medicare refuse any surgery that a surgeon recommended.
The reimbursement rates are a problem (for doctors) with all Medicare--as is the paperwork-- but that is a different issue.
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Thank you for the advice. I wrote the insurance company and requested the doctors to appeal the the denials . I'm still waiting for an answer. I'm wondering if I should change my medicare advantage plan to a medicare supplement. I have not researched the medicare supplements in my area. I'm wary of the cost and if dental and vision are included. If anyone has any advise on medicare supplement plans I would appreciate the information.
Thank you again for your advice.