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Egalitarian Thug

(12,448 posts)
12. This is the game they've always played, deny, delay, refuse to pay. The entire industry should
Sat Jun 23, 2012, 03:50 PM
Jun 2012

be outlawed.

We went through some cancer over the last couple of years. For the first 14 - 15 months Aetna approved PET scans every few months, first to nail the cancer down, then to make sure we got it all and that it wasn't back or popping up somewhere else. Then for no medical reason at all, they start denying them and want the doctor to use CT scans which are cheaper, but useless in this case. It wasn't until the credible threats of legal action that the test was approved again. Now we have to go through this dance every 6 months.

It is no consolation, but unless you are willing to devote yourself to a whole new career as an insurance billing expert, there is little you can do but what you're doing/have done.

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