Thứ Ba, 2 tháng 9, 2025

Denied Coverage for Medically Necessary Test – Still Waiting on Patient Bill

By    01:31 // No comments

I recently had a vaginal swab PCR test at a large hospital clinic, and my insurance denied coverage, labeling it as “investigational/non-covered,” even though the test was medically necessary. Interestingly, the hospital’s patient portal still shows $0 patient responsibility while the claim is pending. The denial appears to stem from a change in medical policy that now classifies this test as investigational. Premera confirmed that in-network providers aren’t required to write off the charges, so patients could potentially be responsible. Since the hospital hasn’t posted a patient responsibility amount yet, I’m curious how they usually handle claims like this. Has anyone else experienced something similar, and how was it resolved?



https://ift.tt/6lJih5N Submitted September 02, 2025 at 12:34AM by LemonDrop789 https://ift.tt/2U50BRx

Thứ Hai, 1 tháng 9, 2025

Why don't insurance companies like UnitedHealth Group pay people to get healthcare services in other countries to lower cost?

By    01:31 // No comments

Why don't insurance companies like UnitedHealth Group pay people to get healthcare services in other countries to lower cost? Seems like a good way to increase earnings and make more money.



https://ift.tt/jPSh1EL Submitted September 01, 2025 at 12:35AM by LargeSinkholesInNYC https://ift.tt/QB84oRq
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