I will be starting Medicare in a few months.
I have been puzzled why most procedures - required by my doctor - are denied by my Baylor Scott & White insurance.
It makes no sense. The doctor cannot proscribe treatment without the test, and I obviously have an issue ...
Was denied coverage of an MRI this summer. “Not medically necessary”.
Was it because I have not been appealing previous denials, but rather pulling money out of savings to pay for such tests?
"To proscribe" means "to forbid".
Regards,
I’m not an expert on any of this. But your story shows why 65+ people need to think hard before going with a Medicare “Advantage” plan. These Advantage plans are advertised all over TV. And they are cheaper than traditional Medicare supplement plans.
But know that when you choose an Advantage plan, you are turning everything over to an insurance company. This might make good sense if you have limited funds and you’re in good health. Otherwise, better do lots of research first.