Quote:
Originally Posted by Seeker
I am suggesting that when a Doctor decides that a pacemaker could help an elderly person lead a normal effective life for even a few more years, and that the patient wants this surgery, that no Insurance comapny should be allowed to intrude and come to the conculsion (and find a way/reason/excuse) to not cover this surgery.
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This happens at all ages, not just the elderly, and not just with private insurance. I recently had a Medicaid patient with back problems. His Pain Management specialist ordered a particular item for him. Both his Orthopedist and his Physical Therapist agreed that it would benefit him. Medicaid denied the request. The doctor appealed and was still denied. So even though this patient has government insurance and had 3 healthcare providers in agreement that the item was needed, he couldn't get it.