Thứ Bảy, 3 tháng 12, 2022

NPR News: After record election year, some LGBTQ lawmakers face a new challenge: GOP majorities

After record election year, some LGBTQ lawmakers face a new challenge: GOP majorities
Montana state Rep.-elect Zooey Zephyr is the first openly trans woman elected to the state legislature. She and other lawmakers across the country are now faced with trying to curb anti-LGBTQ bills.

Read more on NPR

NPR News: With one dose, new drug may cure sleeping sickness. Could it also wipe it out?

With one dose, new drug may cure sleeping sickness. Could it also wipe it out?
This often fatal disease found in many African countries is painful and lengthy to treat. But a single oral dose proved incredibly effective in a clinical trial, raising hopes of eradication.

Read more on NPR

Doctors are referring me to an out-of-network surgeon when there are surgeons that are in-network, but not as experienced. Insurance isn't covering any of it and it won't do to my OOP deductible. Is it worth filing a Network Deficiency claim?

I am in need of orbital decompression surgery. I have genetically large eyes (confirmed by MRI) and suffer from Lagophthalmos, which has in return caused some chronic conditions. The last few years of my life have been miserable. I have 4 eye doctors all trying to treat my eyes. The answer is orbital deconstruction surgery.

The issue is that I have two doctors telling me to travel out of state to see the best of the best, who doesn't accept insurance. There are a few local surgeons here that do the surgery but not very often so there is a much higher risk. The doctor I am being referred to does these surgeries every day and has a great record with patients like me.

So my question is, is there any hope to file an appeal for network deficiency with insurance for coverage? I have two doctors willing to write a referral stating why I need the surgery and why they recommend this specific doctor but I fear it's not enough.



https://ift.tt/fH78YPl Submitted December 03, 2022 at 03:47AM by KDWWW https://ift.tt/JKxApY4

Thứ Sáu, 2 tháng 12, 2022