My wife had a very suspicious mark on her back and was not feeling well. doctor advised her to get tested for lyme. labcorp did the test (Lyme (B. burgdorferi) PCR). Now insurace Aetna is saying it's not fda approved etc... not medically necessary so they wont' cover.
what if anything can we do to either: 1) convince aetna that her symptoms should have been tested given a regular doctor in network she always goes to determined it's the best way to go forward?
2) (if aetna does not pay) convince / negotiate with labcorp to lower the test fee which is $590
Has anyone been successful at appealing to their insurance company that test was necessary?
Posts: 3 | From WA | Registered: Jul 2018
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I had been successfully at appealing to my insurance company that the test was necessary. When I read or hear such stories like your one, I get annoyed. It drives me nuts when I hear about such situations. If your wife has a health insurance, then they must cover such a test. This is my opinion, but I think it is also fair. I have a health insurance from an awesome company which I don't want to present here, but I can recommend you a site that I checked before deciding what health insurance to buy, so if you are interested, you can access the site I am talking about by clicking on comparehealthinsurance.online. Stay safe and have a great day!