cantgiveupyet
Frequent Contributor (1K+ posts)
Member # 8165
posted
Has anyone had there insurance pay for this test.
Mine said it was not medically necessary and Im going to appeal.
Anyone have any advice on a letter to write to win this appeal.
thanks
-------------------- "Say it straight simple and with a smile."
"Thus the task is, not so much to see what no one has seen yet, But to think what nobody has thought yet, About what everybody sees."
-Schopenhauer
pos babs, bart, igenex WB igm/igg Posts: 3156 | From Lyme limbo | Registered: Oct 2005
| IP: Logged |
SForsgren
Frequent Contributor (1K+ posts)
Member # 7686
posted
I have had it paid on some occasions and not on others if I recall. Sadly, I don't recall ever winning an appeal. The test itself is valid. However, Genova does lots of genetic stuff and functional testing and so you will likely find that insurance companies have blanket statements that say that Genova is not covered. Aetna has a huge write-up essentially saying everything they offer is not covered.
-------------------- Be well, Scott Posts: 4617 | From San Jose, CA | Registered: Jul 2005
| IP: Logged |
Jill E.
Frequent Contributor (1K+ posts)
Member # 9121
posted
I haven't done Genova tests yet, but used to do a slew of Great Smokies tests (I believe Genova bought out Great Smokies) and they were never covered by insurance.
Jill
-------------------- If laughter is the best medicine, why hasn't stand-up comedy cured me? Posts: 1773 | From San Diego | Registered: Apr 2006
| IP: Logged |
cantgiveupyet
Frequent Contributor (1K+ posts)
Member # 8165
posted
Thanks Scott and Jill!
I will have to look up the statement by Aetna.
I guess i cant complain too much, they paid for my last Igenex test.
-------------------- "Say it straight simple and with a smile."
"Thus the task is, not so much to see what no one has seen yet, But to think what nobody has thought yet, About what everybody sees."
-Schopenhauer
pos babs, bart, igenex WB igm/igg Posts: 3156 | From Lyme limbo | Registered: Oct 2005
| IP: Logged |
bettyg
Unregistered
posted
Can't I'll look tomorrow when I have light; hubby is sleeping right now.
I do NOT think they did and I have to appeal as soon as they send me the DENIAL benefit claims. I sent 3/4s of them in 4-06; STILL NOTHING IN WRTING DENYING ME!
Made 2 dozen phone calls; got VP of BCBS involved now almost 3 months now, and still do NOT have the denial statements!
Have around $5600 to appeal; gesh. big uffda. Bettyg
IP: Logged |
ConnieMc
Frequent Contributor (1K+ posts)
Member # 191
posted
If you are looking for parasites, why not have a vet look at a "sample"?
Posts: 2275 | From NC | Registered: Oct 2000
| IP: Logged |
bettyg
Unregistered
posted
I pd. $594.00; BCBS will NOT pay! haven't received their denial letter w/details yet. Sent them another reminder as I was promised they'd send all by last Friday.
They've had 60-70% of my bills to be reimbursed for SIX MONTHS! very disgusted Bettyg
IP: Logged |
The Lyme Disease Network is a non-profit organization funded by individual donations. If you would like to support the Network and the LymeNet system of Web services, please send your donations to:
The
Lyme Disease Network of New Jersey 907 Pebble Creek Court,
Pennington,
NJ08534USA http://www.lymenet.org/
UBBFriend: Email this page to someone!
![[cussing]](graemlins/cussing.gif)
Printer-friendly view of this topic