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Ms. Toad

(34,119 posts)
7. Excellent.
Fri Dec 31, 2021, 06:57 PM
Dec 2021

I've had to battle:

* Anesthesiologists (who have their own litle fiefdoms which - in my case - would have requried me to drive 50 miles away for an emergency appendectomy when I was 5-months pregnant)
* Dermatologists (somehow the surgical biopsy for suspected breast cancer is covered, but the surgical biopsy to remove a skin growth that meets all of the ABC criteria for suspicious activity is cosmetic)
* Ultrasound fibroscan to evaluate progression of my daughter's liver disease - covered under her 2018 plan, but treated as experimental under her 2020 plan & the doctor never bothered to check
* The infusion process for my daugher's entiviyo infusion because althogh the drug was covered the doctor forgot to renew the approval for hospital infusion (after 6-months, during which the process is considered very risky, they shift you to at home infusions - leaving us with a $20,000 bill.)

I've won them all - but it will be nice to avoid the battle process.

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