Hi all,
Long story short:
In-network doctor wanted to do a genetic test for a life threatening disease.
I get the kit, spit in the tube, seal & send it back.
Got an email from the company that insurance didn’t cover the kit, and offered us a patient price.
Called up insurance and they stated: we do not cover at home tests. If you were to go to a lab, it’d be covered.
I’m planning on appealing this. The doctor prescribed this. The doctor clearly evaluated given the current situation that this is the best course of action. This is a large hospital group in Southern California.
What I’m hoping to get here is: * does this make sense to file an appeal? * what can I add to it? * anything else I’m missing / not considering.
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