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It's a little confusing that the doctor suggested 4 treatment options and the first and second one just got denied by my insurance. I know the next request will be 2 pills a day so will see how that request goes. At least this clinic is handling the request with my insurance company. The previous one, I had to do everything. Sure makes it not as stressful even though the have gotten denied so far.
Insurances are a pain in the ass
Even though doctors " prescribe" certain treatment(s), insurances will/ can deny them because of the cost of the medicine, test(s) ( E.E.G., M.R.I. ( Similar to a CT scan, except MRI's show a 3D image of the brain), etc... Even when doctor's send a Prior Approval, insurance companies may still deny the treatment ordered by doctor(s).
My Dr. at one time put me on State insurance because my reg. Insurance did not cover simple things.
@A MyEpilepsyTeam Member They already tried appealing it for me too and the insurance denied that too. We'll see what happens...
Generally if the doctor submits a letter to insurance stating that the treatment is necessary your insurance company should cover it
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