Insurance companies are the devil - that's for sure. Hope you have a good insurance commissioner in your state.

But the situation is definitely intolerable and I hope and pray they get the intervention needed!

Everything is covered. So you think that means everything, then when the final part of the procedure has to happen or you go blind (or worse), the insurance company refuse to pay, knowning full well the patient has no choice. I wish this individual the best of luck, and if they have the desire and stamina, a good lawyer. That insurance company deserves to be sued.

Better yet, we deserved to have for profit insurance companies eliminated in this country.

Evicore (the approval/auditing company that BC/BS goes through denies any scans for endometrial cancer followups. They cover a CA125 blood test every 3 mo, but that isn’t a reliable test for or even a marker for many types of endo cancer.

My urologist just had to back off in a test that he ordered because they told him endo cancer patients don’t need to do comparison CT urogram (w/ and w/o contrast). The uro wasn’t evaluating my endo cancer. He ordered the tests to check on 2 large kidney stones, do a comparison of kidney/bladder flow, and possible kidney damage due to rads that could require stents. Evicore said they would pay for one, not both.

Due to seeing an enlarged lymph node which is in an inoperable, unbiopsiable area, my onco is going to try to order a PET scan but doesn’t know if he can get it approved. If not, he said he’d order another CT scan in 3 mo. If it’s bigger, we’ll start Keytruda. If it’s the same or smaller, we’ll scan again in another 3 mo. Since Evicore says endo cancer doesn’t require scans, I’m expecting denial and having to fight for the test.

Fall on deaf ears among the wealthier conservatives in Congress. How the American people continue to accept this system just boggles my mind.

but no doubt it is UnitedHealth Care that, for some reason is promoted by AARP. And some here expressed their satisfaction.

But it is traded on the stock exchange. The CEO last year made $142 million

https://www.startribune.com/former-unitedhealth-ceo-made-142-2m-last-year/600171979/

Their first responsibility is to their stockholders, not the patients.

I hope that this person went ahead with the needed procedure and than got a pro bono attorney to sue them. And if he can, change to not for profit carrier.