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Forum: her2group

05-04-2009, 11:50 PM

Replies: 20

Help....Ins denial for annual DEXA payments

Views: 2,933

Posted By harrie

Oh well...thats the way it goes. To look on the...

Oh well...thats the way it goes. To look on the bright side, I am thankful that it probably isn't really critical or necessary for me to have it done annually.

Jacqueline, I do exercise...

Forum: her2group

05-03-2009, 11:49 PM

Replies: 20

Help....Ins denial for annual DEXA payments

Views: 2,933

Posted By harrie

Well Folks, I appealled and lost. My ins will not...

Well Folks, I appealled and lost. My ins will not pay for annual DEXA, but will only pay for once every 2 yrs. This is what was said:
"...scientific evidence does not support improved health...

Forum: her2group

12-01-2008, 12:24 AM

Replies: 20

Help....Ins denial for annual DEXA payments

Views: 2,933

Posted By harrie

Thank you Sassy. So I guess I should CC a copy of...

Thank you Sassy. So I guess I should CC a copy of my appeal letter to the Dept of Commerce and Consumer Affairs, the dept that regulates insurance issues, right?

Forum: her2group

11-30-2008, 12:45 AM

Replies: 20

Help....Ins denial for annual DEXA payments

Views: 2,933

Posted By harrie

I just got done writing my first draft of my...

I just got done writing my first draft of my appeal. Thank you for all the suggestions and for the recommendations on my wording. Ann, I will be sure to write much more assertively then how I had...

Forum: her2group

11-04-2008, 01:50 PM

Replies: 20

Help....Ins denial for annual DEXA payments

Views: 2,933

Posted By harrie

appeal

Oh yes, I definitely do plan to appeal. I just emailed my onco for a statement from him. I never thought about the CC to the St Bd of Ins. Will have to do a bit of research to locate that address.

Forum: her2group

11-04-2008, 01:05 PM

Replies: 20

Help....Ins denial for annual DEXA payments

Views: 2,933

Posted By harrie

Quote from denial letter

Rebecca, this is what they wrote:
" According to HMSA's medical policy for Bone (Mineral) Density Studies, follow-up studies performed more frequently than once every two years is limited to...

Forum: her2group

11-04-2008, 11:58 AM

Replies: 20

Help....Ins denial for annual DEXA payments

Views: 2,933

Posted By harrie

Rich, around $500. I know there are many whose...

Rich, around $500. I know there are many whose insurance will cover annually. Normally the ins will cover bi-annually without hesitation.

Forum: her2group

11-04-2008, 11:08 AM

Replies: 20

Help....Ins denial for annual DEXA payments

Views: 2,933

Posted By harrie

Help....Ins denial for annual DEXA payments

My insurance has denied coverage for annual DEXA (bone density studies). I am on AI (Femara), have osteopenia, and my oncologist said annual DEXA is recommended.
Any suggestions for ammunition for...

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