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mri Ny
Posted: Fri Jul 06, 2012 5:07 pm
by hope4eva
ok so my new ob wants me to get a special mri that shows nerves like pundendal & others this is fine with me but i dont think my state insurance wil cover it anyone in ct ever able to travel ? im scared i wont b able to do this and even if i can i dont know if blocks will b coverd thanks for your advice
Re: mri Ny
Posted: Sat Jul 07, 2012 2:54 pm
by Karyn
Hi hopeforeva,
You may have to get a letter of medical necessity from your GYN in order to get this covered by insurance. Have you discussed this with him/her?
Kind regards,
Karyn
Re: mri Ny
Posted: Sat Jul 07, 2012 6:26 pm
by hope4eva
yeah a letter or referral is no problem im just concernd it wont be covered cuz its out of state
Re: mri Ny
Posted: Tue Jul 10, 2012 4:01 am
by Violet M
Each insurance plan is so different you would have to check with your plan. Mine covered out of state items that were not available in state as long as it was considered medically necessary. Good luck with your insurance.
Violet
Re: mri Ny
Posted: Tue Jul 17, 2012 2:09 am
by hope4eva
bad news my insurance wont cover mri im screwd
Re: mri Ny
Posted: Tue Jul 17, 2012 1:19 pm
by Karyn
hope4eva wrote:bad news my insurance wont cover mri im screwd
Not even with a letter of medical necessity?
hope4eva wrote:yeah a letter or referral is no problem im just concernd it wont be covered cuz its out of state
There's a difference between a referral and a letter of medical necessity. If your doctor writes a letter explaining your unique condition, requiring unique imaging not available in your area; sometimes the insurance will allow and pay for the scan.
Re: mri Ny
Posted: Wed Jul 18, 2012 6:35 pm
by hope4eva
i know the doc did a preaautherasation and referral i will ask about the letter thank u
Re: mri Ny
Posted: Fri Jul 20, 2012 10:42 pm
by Violet M
Well, that's unfortunate, Eva. Maybe it would be worth it to go through the appeals process. Or maybe you could get a local doc to follow Potter's protocol if there is 3T MRI capability in your community.
Violet
Re: mri Ny
Posted: Sat Jul 21, 2012 7:02 pm
by hope4eva
yeah i called the ob yesterday about the medical necessity letter never heard back yet ,i dont know my insurance really sux its just state of ct huskey
Re: mri Ny
Posted: Thu Jul 26, 2012 9:06 pm
by hope4eva
ok so my ob talked with dr potter and i guess there is a program for people without coverage for the mri its free ! it sounds to good to be tru really so ive made an apt for nxt wk !i wanted to post this as an update but also to let people know about this program !