Home Menu

Site Navigation



NeuroTalk Support Groups > > >

Punch Biopsy & Insurance

Reply
 
Thread Tools Display Modes
Old 03-20-2015, 05:38 PM #1
madisongrrl's Avatar
madisongrrl madisongrrl is offline
Member
  
Join Date: Jul 2014
Location: Midwest
Posts: 584
10 yr Member
madisongrrl madisongrrl is offline
Member
madisongrrl's Avatar
 
Join Date: Jul 2014
Location: Midwest
Posts: 584
10 yr Member
Default Punch Biopsy & Insurance
Hello Everyone,

I just got the bill in the mail for my punch biopsy and it is pretty significant. My Horizion BlueCross BlueShield decided that the nerve analysis portion is experimental and will not pay for it. That portion of the test was $2000 all on its own. They did pay some towards the biopsy itself and the immunochemistry testing.

Has anyone run into this problem?
Last edited by madisongrrl; 03-20-2015 at 08:12 PM.
madisongrrl is offline   Reply With QuoteReply With Quote
Old 03-20-2015, 06:55 PM #2
en bloc's Avatar
en bloc en bloc is offline
Senior Member
  
Join Date: Feb 2011
Location: Shenandoah Mountains, VA
Posts: 1,250
10 yr Member
en bloc en bloc is offline
Senior Member
en bloc's Avatar
 
Join Date: Feb 2011
Location: Shenandoah Mountains, VA
Posts: 1,250
10 yr Member
Default
NO. Actually, Medicare didn't have a problem paying for either of my two biopsies...and Medicare can be very picky. You might want to check to see HOW they listed the necessity and what they put for the diagnostic code. It can make a difference how things get through the system.
en bloc is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
madisongrrl (03-20-2015)
Old 03-20-2015, 09:28 PM #3
beatle's Avatar
beatle beatle is offline
Member
  
Join Date: Nov 2013
Posts: 424
10 yr Member
beatle beatle is offline
Member
beatle's Avatar
 
Join Date: Nov 2013
Posts: 424
10 yr Member
Default
My insurance didn't cover my biopsy either but the neuro would not schedule it in the first place until they had "insurance approval". I complained directly to the lab, explaining that I could not afford to pay it and they wrote it off.
beatle is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
madisongrrl (03-22-2015)
Old 03-21-2015, 05:45 PM #4
baba222 baba222 is offline
Member
  
Join Date: Sep 2014
Location: Down South
Posts: 408
10 yr Member
baba222 baba222 is offline
Member
 
Join Date: Sep 2014
Location: Down South
Posts: 408
10 yr Member
Default
Quote:
Originally Posted by madisongrrl View Post
Hello Everyone,

I just got the bill in the mail for my punch biopsy and it is pretty significant. My Horizion BlueCross BlueShield decided that the nerve analysis portion is experimental and will not pay for it. That portion of the test was $2000 all on its own. They did pay some towards the biopsy itself and the immunochemistry testing.

Has anyone run into this problem?
Yes, Blue Cross is wonderful. They tell you that there is no pre-certification, and then cherry pick what is experimental. I am STILL grieving three claims for testing.

The biopsy is the gold standard and this is what Blue Cross Anthem (yes, my family's identification did get leaked) is still doing.

We already pay so much in premiums.

Hope you can find a way for maybe your provider to help.
baba222 is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
madisongrrl (03-22-2015)
Old 03-23-2015, 03:34 AM #5
Neuroproblem Neuroproblem is offline
Member
  
Join Date: Feb 2015
Posts: 355
10 yr Member
Neuroproblem Neuroproblem is offline
Member
 
Join Date: Feb 2015
Posts: 355
10 yr Member
Default
Quote:
Originally Posted by madisongrrl View Post
Hello Everyone,

I just got the bill in the mail for my punch biopsy and it is pretty significant. My Horizion BlueCross BlueShield decided that the nerve analysis portion is experimental and will not pay for it. That portion of the test was $2000 all on its own. They did pay some towards the biopsy itself and the immunochemistry testing.

Has anyone run into this problem?
Im sorry you have blue shield, i heard horror story about this insurance company, dropping people as soon they get a payment, doctors,ambulances mysteriously disappear from patient network
Neuroproblem is offline   Reply With QuoteReply With Quote
Reply

« Previous Thread | Next Thread »
Thread Tools
Display Modes
Hybrid Mode Hybrid Mode

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts
BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Similar Threads
Thread Thread Starter Forum Replies Last Post
Results of Punch Biopsy Jon_sparky Peripheral Neuropathy 15 11-01-2014 11:06 PM
Punch biopsy tomorrow morning... Jon_sparky Peripheral Neuropathy 4 10-01-2014 05:08 PM
Accuracy of punch skin biopsy for nervedensity Synnove Peripheral Neuropathy 5 04-24-2014 10:29 AM
Has anyone had a skin punch biopsy for SFN? SuzieCue Peripheral Neuropathy 12 09-08-2013 01:22 PM
Saliva gland biopsy to diagnose PD--did anyone check for intestinal biopsy results? olsen Parkinson's Disease 0 01-11-2013 12:17 PM


All times are GMT -5. The time now is 03:42 AM.


Powered by vBulletin • Copyright ©2000 - 2025, Jelsoft Enterprises Ltd.

vBulletin Optimisation provided by vB Optimise (Lite) - vBulletin Mods & Addons Copyright © 2025 DragonByte Technologies Ltd.
 

NeuroTalk Forums

Helping support those with neurological and related conditions.

 

All posts copyright their original authors.

The material on this site is for informational purposes only,
and is not a substitute for medical advice, diagnosis or treatment
provided by a qualified health care provider.

Always consult your doctor before trying anything you read here.

Home