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nannybb avatar

Denied treatment by Medicare anyone?

Chronic Pain | Last Active: Jun 29 12:39pm | Replies (38)

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Profile picture for jenatsky @jenatsky

@nannybb in order for a Medicare beneficiary to be held responsible for any cost related to any procedure the doctor performing the procedure must have you sign a form indicating that you may be held responsible for any cost not covered by insurance prior to the procedure. If this was not done you are off the hook.

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Replies to "@nannybb in order for a Medicare beneficiary to be held responsible for any cost related to..."

@jenatsky There is no doubt that I signed forms prior to the first nerve block. The reason for that block was to find the area where the robot damaged nerves and muscle. I am sure I signed forms for treatment at that time. It was determined, by the same doctor, a second nerve block should be performed because they did not totally capture all of the offending nerves. After doing the second block, the plan of treatment was to then go back in and do an ablation. I have been in extreme pain for almost a year. The only med. I can take is Tylenol. I have gone to an oncologist (by recommendation) of someone in here, to be reevaluated. He has ordered additional testing and another PET scan. He is not convinced I have DIPNECH. This whole amount of treatment has been done with the same doctors working at the same hospital in tandem. They were all on board going forward. Evidently, Medicare has determined the treatment is no longer warranted, even though I am still in pain, and there was an original "plan," in place. I am beyond frustrated. Sorry this is so long.