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Old 01-18-2008, 02:17 PM #1
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Chris Chris is offline
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Join Date: Aug 2006
Location: Georgia
Posts: 975
15 yr Member
Chris Chris is offline
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Chris's Avatar
 
Join Date: Aug 2006
Location: Georgia
Posts: 975
15 yr Member
Default American Medicine and "UN"surance

I'm bloody angry, so I apologise if I offend anyone before I even start. When we moved here I began seeing a MS Specialist at a LARGE MS Clinic. Prior to our move I had an MRI, so it's been almost a year since my last MRI. At my last appointment 3 months ago, we discussed going on Tysabri as it doesn't appear that I'm going to be getting pregnant or trying anymore. We set up an appointment for the MRI, and our insurance policy reads that one does not need "prior approval" for a brain or spinal MRI.

I was set to go early this morning, as I need to be sedated. Michael took the morning off to drive me there and back, and to be at home with me until lunchtime. All was set up, and I wasn't to have anything to eat or drink for 4 hours prior to the MRI. We got up early this morning and got to the MS Center, filled out all of the paperwork, and waited, and waited. After an hour, they finally came out to tell us that I needed to have "prior approval" for an MRI and they hadn't gotten it. Now, mind you this had been set up several weeks ago. Michael spoke with the woman and said, "I looked over our insurance, and that isn't the case." We were told they couldn't perform the MRI until they had approval, so we ended up leaving. We stopped off and had something to eat, and Michael dropped me off at home before he headed off to work.

When I walked into the house, there was a message on our machine from the MS Center that they had indeed made a mistake, and we were correct; I didn't need prior approval, and if I'd like I could come right back and they'd "fit me in"

Obviously, I couldn't go back as I had just eaten, and Michael had headed off to work. NOW....I have to reschedule again, because the clerk at the MS Center had no idea what the terms of our insurance were, and they didn't bother to look at them or call our insurance co. while we were at the Center.

I'm so bloody mad, I'm about to blow a gasket! Why does every insurance company differ so and make it so hard on the clerks, and why can't the bloody clerks READ????

Is it me, or has anyone else experienced something as silly as this?
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