Hi @lorri, I also would encourage another visit to MC. I have BCBS and never had any difficulty with medical claims from MC visits. I did have genetic testing that MC sent out. Since test would be billed by outside facility, I was asked to sign a form that if insurance denied payment then i would be responsible for payment. I was informed that if denied, MC would assist with providing records, medical literature to insurance to help get the claim paid.
Unfortunately, in the past I too had a disappointing visit. It was a follow-up after several prior visits for a neuromuscular mystery. I didn’t receive a diagnosis or recommendations for further care. A complete medical work up was performed over the period of 6 months. The disappointing experience was with a neurology fellow, who did not remain at MC as an attending. When he had no answers to give me, he was at a loss in providing any options for me to pursue. In hindsight, I should’ve insisted on speaking with the attending physician. I was contacted by phone, by the end of the call I was a bit distraught. That experience did not tarnish my respect for MC. During those visits, I had met so many outstanding and compassionate physicians, nurses and ancillary staff that helped me in many other medical areas. The disease that MC couldn’t diagnose was ultimately investigated at the NIH. The disease is very rare, with very few specialists able to manage it. Unfortunately, one is not at MC. I’m glad I didn’t give up on the Clinic. I have returned many times since for other medical problems arising from this disease, will return again at the end of Sept. MC may not have diagnosed my illness, but the many physicians and staff have greatly improved my quality of life by diagnosing and treating the cascade of other problems the disease causes. MC has been the only medical facility (besides NIH) where I’ve always been treated with respect and compassion. I’ve learned many things through this medical journey. A few are…don’t be afraid to ask the physician for a referral to another medical center if unable to treat you. Request and keep all records of test results whether or not abnormal. I was overrun with paper copies, that I now scan all results to flash drive and organize by dates/categories. This way records can be easily retrieved, printed when you need them. Request films or CD of any radiology tests along with the reports,. Keep journals of medications or therapies tried and any positive or negative effects. Lastly, keep a daily log of symptoms, anything that may help or worsen symptoms- weather, exercise, amount of sleep, diet, etc. By logging this, there may be patterns that were missed. Just a few things that have helped me. Appointments with specialists can be overwhelming. Many times patients think of questions after they’ve left the office, which makes it difficult to get answers. Going to these appointments well prepared with the medical data and a list of questions, may help the visit be more productive. Lastly, MC is very efficient with utilizing prior results if they’re deemed of good quality, not ordering tests just to repeat them. That’s why the CD for CT scans, xray, mri is important. MC radiologists will read it themselves. This practice decreases unnecessary testing that has the potential of insurance denial.
Sorry for the length. I hope this helps and your husband gets answers.