I found out today that the insurance I had last year doesn’t cover the Prometheus Diagnostics test that I had done in December. Which really sucks because the place I got my blood drawn at checked to see if I needed prior authorization and said that I didn’t. So now I’m working on getting a letter from my doctor stating why I needed the test and that this lab is the only one who does it so that I can appeal the insurance company. Which can take up to 30 days to find out whether it’s getting paid or not.
I really hope that it does get paid other wise that’s several hundred dollars that I have to pay for that test 🙁
Noooo! I’m so sorry! Insurance issues are the worst! Nothing can stress me out quicker. We should start citing the stress of insurance red tape as a cause of IBD symptoms. If they cause it, they HAVE to cover it, right?
They really are! I hope that I can appeal their decision and have them cover at least part of it 🙁
i had the same experience as well… i have my genetic tests repeated TWICE because they turned out “inconclusive” 1st… totally uncovered, totally stressed out and i appealed and lost too.
now i have started a “gofundme” operation… i just started last night & already raised more than $400 tohelp me with my tens of $1000’s of dollars i have in medical debt. http://www.gofundme.com/purpleproject its horrifying to ask others for money, but there are caring people who want to help – do this for yourself, please. i hope you find your answers!! 🙂
I got enough back from my tax refund to cover the test thankfully but I’m still going to see if I can appeal it with the insurance. It is really frustrating since Prometheus is the only lab that does these tests. I can’t imagine having it done twice though! I’m glad that the new insurance I have this year is covering the tests I’ve had done at Prometheus so far.