denied the request.The doctor fixed it so now they say it's covered but I'm worried it won't be completely covered.How did you do with the Insurance?Was there an out of pocket cost?
20 Jul 2012
Hi mograce. I would first call the doctors office & find out exactly what the cost is, & then call your insurance. There should be a toll free number on your insurance card for sutomer serivce. Ask them right up fron what your cost will be if any. It's really very easy to do. Good luck with the injecions... Mary
20 Jul 2012
Be sure you mention the doctor fee which may be a separate charge from the medication. What they will probably give you is the percentage you owe. The physician office or clinic will give you the normal fees. It will depend upon how many injections used.
Also, almost all clinics can put you on a pay plan if you are in need for payment but you need to ask after the fact for that consideration. You can ask their billing office their policy for payments now, however.
Glad this has been worked out. Good luck with the procedure. Money can get worked out. Your comfort is the goal. Karen
20 Jul 2012
Hi Mograce1, I had my Botox denied on the Wednesday, and then my Dr who was going to do the injections wrote a letter on my behalf and the following day
It was overturned by the insurance. I didn't have to pay anything because I had met my deductable for the year couple of month ago, but that didn't stop me from getting the Dr's office to ring my insurance to make sure we new up front if we did owe something, also I made them give me the cope of approval before I had the Botox just to cover myself again from large bills. Hope things workout for you, Liz.
21 Jul 2012
If they are hedging on answering your question based on the number of injections, call your doctor and ask for an example of how many injections for the express purpose of getting a quote on the fee. And call your insurance company.
The two important points to be included in the letter from your doctor to the insurance company are: 1) stating that your migraines are over 15 days a month and; 2) you have unsuccessfully tried a variety of daily preventative migraine medications to treat your migraines.
If that doesn't work, report it to your State Insurance Commission with your doctor's letter as well as the fact that the FDA approved Botox for migraines on October 15, 2010. Your insurance company cannot reject Botox on the basis that they are experimental. I went through all this personally with an attorney and won the State's overturning the insurance company's rejection of my costs. Now no one else is denied insurance at my doctor's office. So I'm trying to help others so that no one is denied coverage.
- Botox Information for Consumers
- Botox Information for Healthcare Professionals (includes dosage details)
- Side Effects of Botox (detailed)
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