Insurance problems - AGAIN!!

daisy366
daisy366 Member Posts: 1,458 Member
in Uterine/Endometrial Cancer #1
It's deja vu time for me.

I switched from Aetna to BC/BS a year ago. I had already battled Aetna and we had a "truce". I anticipated problems when next PET/CT was ordered - and that time is today!! I'm scheduled for scan tomorrow but insurance is balking at approving.

This type of thing infuriates me. I have a huge copay for scans now and don't feel like shelling out hundreds in copays TWICE. Let alone the unnecessary aggravation, time, money, and toxicity to MY BODY.

Who are the wunderkinds who created these protocols??? I wonder if this runaround happens to MEN?????? It's not fair that our lives are toyed with. And if I had no insurance what would be happening??

Serenity Prayer time!! Mary Ann

Comments

  • carolenk
    carolenk Member Posts: 907 Member
    #2
    Insurance companies are
    Insurance companies are profit-driven. I don't know if the socialized medicine folks have it any better though.
  • jazzy1
    jazzy1 Member Posts: 1,379
    #3
    carolenk said:

    Insurance companies are
    Insurance companies are profit-driven. I don't know if the socialized medicine folks have it any better though.

    Mary Ann
    We all know it's a BUSINESS and they need to make a PROFIT...therefore, we're just a crumb on the road and they're looking for a great bottom line.

    Sorry you're dealing with this AGAIN. When I was having some issues with my insurance, Anthem, I found a personal contact who gave me guidance. Has your doc been involved explaining why need this type of scan? Knowing you, that's been done and now dealing with the NO WE WON'T COVER...

    Keep smiling and hang in there!!
    Jan
  • JoAnnDK
    JoAnnDK Member Posts: 275
    #4
    jazzy1 said:

    Mary Ann
    We all know it's a BUSINESS and they need to make a PROFIT...therefore, we're just a crumb on the road and they're looking for a great bottom line.

    Sorry you're dealing with this AGAIN. When I was having some issues with my insurance, Anthem, I found a personal contact who gave me guidance. Has your doc been involved explaining why need this type of scan? Knowing you, that's been done and now dealing with the NO WE WON'T COVER...

    Keep smiling and hang in there!!
    Jan

    those of us .....
    ....who have worked hard all our lives and pay for ourselves should not be having to deal with this kind of crap, Mary Ann. I am so sorry. And the thing is, you are probably dealing with some clerk who has no vested interest in either your heath or in the profitability of BC/BS.

    JoAnn
  • CindyGSD
    CindyGSD Member Posts: 190
    #5
    Sigh
    Its not like we don't have enough things to worry about with this added stress. I'm so sorry you are dealing with this. I hate insurance companies.

    Think happy thoughts and don't let this stress you too bad.

    Cindy
  • Ro10
    Ro10 Member Posts: 1,561 Member
    #6
    MaryAnn so sorry you have problems again
    You have had your share of insurance problems. Luckily you eventually have gotten the problems taken care of ------not without a lot of your frustration and effort. Hope this situation turns out in your favor again. More than that I hope the scan shows you continue to be NED. Hope your Serenity Prayer worked. In peace and caring.
  • daisy366
    daisy366 Member Posts: 1,458 Member
    #7
    Ro10 said:

    MaryAnn so sorry you have problems again
    You have had your share of insurance problems. Luckily you eventually have gotten the problems taken care of ------not without a lot of your frustration and effort. Hope this situation turns out in your favor again. More than that I hope the scan shows you continue to be NED. Hope your Serenity Prayer worked. In peace and caring.

    Serenity Prayer did work, Ro!!
    thank you all for being there to listen and support. Yesterday it looked bleak but no one told me it was canceled though I assumed it was when 5pm came and went without a word.

    I decided to let fate decide and I wasn't going to fight for a scan - what will be will be. But not sure if I should eat breakfast or not. With 10am appointment I decided to call at 8am and the radiology folks told me that scan was "reluctantly" approved!!!! yeah. So happy to be allowed to get radioactive fluid coursing through my veins!! Crazy for sure.

    Hugs to all, Mary Ann

    PS. I'll keep you posted on results which I will get next week.
  • snowbird_11
    snowbird_11 Member Posts: 160
    #8
    daisy366 said:

    Serenity Prayer did work, Ro!!
    thank you all for being there to listen and support. Yesterday it looked bleak but no one told me it was canceled though I assumed it was when 5pm came and went without a word.

    I decided to let fate decide and I wasn't going to fight for a scan - what will be will be. But not sure if I should eat breakfast or not. With 10am appointment I decided to call at 8am and the radiology folks told me that scan was "reluctantly" approved!!!! yeah. So happy to be allowed to get radioactive fluid coursing through my veins!! Crazy for sure.

    Hugs to all, Mary Ann

    PS. I'll keep you posted on results which I will get next week.

    Mary Ann, I'm so glad you
    Mary Ann, I'm so glad you were able to get your scan! Sending positive thoughts for continued NED for you!
    Annie
  • jazzy1
    jazzy1 Member Posts: 1,379
    #9
    snowbird_11 said:

    Mary Ann, I'm so glad you
    Mary Ann, I'm so glad you were able to get your scan! Sending positive thoughts for continued NED for you!
    Annie

    Happy!
    Happy all worked out and approved...yeah! Your angels were watching over you for approval and will be there for the good results...

    Hugs,
    Jan
  • Ro10
    Ro10 Member Posts: 1,561 Member
    #10
    daisy366 said:

    Serenity Prayer did work, Ro!!
    thank you all for being there to listen and support. Yesterday it looked bleak but no one told me it was canceled though I assumed it was when 5pm came and went without a word.

    I decided to let fate decide and I wasn't going to fight for a scan - what will be will be. But not sure if I should eat breakfast or not. With 10am appointment I decided to call at 8am and the radiology folks told me that scan was "reluctantly" approved!!!! yeah. So happy to be allowed to get radioactive fluid coursing through my veins!! Crazy for sure.

    Hugs to all, Mary Ann

    PS. I'll keep you posted on results which I will get next week.

    Mary Ann so glad you were able to get your scan
    Wishing you get good results next and you can continue to dance with NED. Keep those positive thoughts. In peace and caring.

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