(April 19, 2016 at 1:46 am)Sterben Wrote:(April 19, 2016 at 1:30 am)Losty Wrote: It's not really that different. I'm not asking for pills. My doctor told me I need this medicine. My doctor diagnosed me with an illness and prescribed a medicine. If he diagnosed me with an illness and prescribed a surgery I would expect my insurance to cover it just like they'd cover any other thing my doctor said I need. I don't care how much it costs. I pay for insurance for them to cover the things I need not just for them to cover the things they feel are cheap enough.
It's not a matter of cost, a lot doctors are controlled by big pharma. If a doctor tells you something it's not always true, if a HMO or PPO wants to cover something that's up to them. There also within there rights to deny a more costly operation and replace it with it a older and cheaper operation. It does not make it right, I can understand there hesitation to cover SRS. In my last post, they could offer a variety of packages that cover it and all the other operations that are needed afterwards. I'm sure I am not alone on this, main stream insurance should not be forced to cover it, they can get special higher end packages that do cover it.
Well duh. These are for profit companies. I can understand their hesitation to cover anything. Mine just denied a lithotripsy that had already been pre-approved and that I already had. They'll try not to cover things if they can get away with it.
I mistakenly thought we were discussing what should happen.