I am just about to lose it. I am a patient of Dr. Hilgers at the Pope Paul VI institute and am scheduled to have a diagnostic laparoscopy tomorrow. I had one a few years ago and they found that I had severe pelvic adhesions which had been causing me pain for about 12 years and (TMI INFORMATION ALERT!!!) had wrapped around my ovary, adhered it to my back and had also infiltrated my rectum. They did surgery at that time and removed the adhesions.
Lately I’ve been having the same problems as I had before (pain in my side, no ovulation and near-constant diarrhea) and Dr. Hilgers suggested the laparoscopy. I called our new insurance a month ago to find out how this would need preapproval, etc… They told me no pre-certification was necessary and based on what I was telling them, there should be no problem.
So… this morning I get a call from the hospital, and the insurance has denied coverage for the entire thing. I need to bring a check for $6100 if I want to have the procedure done at all TOMORROW MORNING! I have just had it. My husband has moved to Philadelphia, and is flying home today to be here for the surgery. Dr. Hilgers’ surgeries book up 6 months or so in advance and I don’t have that much time to wait for the insurance to hear my appeal (it’s a 60 day appeal process.)
Sorry for the vent- it’s just amazing to me that if you don’t want to get pregnant, the insurance companies will pay for absolutely anything, but if you have a real medical problem that may also be preventing you from getting pregnant, nothing is covered.