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I’m in the thick of dealing with insurance issues, unfortunately. My problems are a bit different, though. I know that in the past, my rheumatologist had to follow certain protocols in my treatment. I call it jumping through the hoops. I definitely think the providers have to play to the insurance company. I suppose if you don’t care whether your insurance will cover your treatment, your dr may prescribe something outside the insurance protocol. But even then, they usually want to be cautious and pull out the bigs guns only after trying the less invasive/less expensive medication. That’s my experience, anyway.
What’s happening specifically that is frustrating you?
Insurance coverage can definitely impact treatment decisions. Before starting any new treatment, it's recommended to:
1. Ask your provider for the procedure and diagnosis codes
2. Contact your insurance company with these codes to verify coverage
3. Confirm what your out-of-pocket costs will be
4. Discuss coverage Show Full Answer
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