I'm just wondering if I should try, or if all the appointments to try to get it approved will be a waste of time.
I was told years ago after x-rays that I have a congenital hip impingement on both hips, the bones grind together and on one side have trapped a nerve for over a decade. Orthopedist told me if I didn't get the surgery soon, I would need both hips replaced in my 50s or 60s. I was told it was a minor surgery, they would enter laproscopically and cut off the protruding bits of bone, and recovery time would be minimal. Then the provider went on to say they couldn't approve the surgery until I completed a bunch of PT. At the time I was working and I was still on my mom's insurance plan. I couldn't afford the time off and the co-pays to do the PT.
Now I'm still only 31, but my hips have been hurting worse this year. I've been unemployed for a few years and I'm on Medicaid with no co-pays. If there would be no co-pays for PT then I could probably do it.
But is any of this an option on Medicaid? I've looked it up but I don't know if this surgery would count as "medically necessary" or not. Does it depend on the doctor?
Any advice is appreciated.
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