Question:
Hi, I was denied...

Hello I just received a call from my insurance co. and the nurse told me I was denied for the panni, she said it was an exclusion on my policy. Now when I talked with my benefits dept. they said as long as it was medically necessary. Whom do I believe. What do I do next?    — lynbaby B. (posted on February 13, 2002)

February 13, 2002
Sounds like the request was not worded correctly. When I see my Endo for my PCOS, he always bills my insurance for Hirsutism. However my insurance will not cover any hirsutism issues whatsoever, no I've had to explain to him a dozen times to change the billing to something else- hypertension etc. The doctor needs to say this is a medically nescessary proceedure - and perhaps it wasn't requested that way. I'd ask the nurse just how it was requested, or see if you can get a copy of EVERYTHING.
   — Karen R.

February 13, 2002
I'm going to sound like a broken record, but here it is. Get a copy of your insurance policy from your Human Resources Department and see what it says.
   — garw