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Try this when your doctor says 'yes' to a preventive test but insurance says 'no'

Try this when your doctor says 'yes' to a preventive test but insurance says 'no'

Summary

The article discusses the challenges faced by Anna Deutscher from Minnesota when her insurance denied coverage for her son's preventive hearing tests. Despite laws requiring preventive care coverage, Deutscher had to pay out of pocket and navigate the insurance appeals process. The article offers advice on how to handle such insurance denials.

Key Facts

  • Anna Deutscher's son, Beckham, has congenital CMV, necessitating regular hearing tests.
  • Insurance denied coverage for these preventive tests, costing the family about $350 each time.
  • Preventive care such as hearing tests is generally required to be covered by law.
  • Some insurance plans are exempt from these requirements due to being "grandfathered."
  • Insurance companies must provide reasons for coverage denials and outline steps for appeals.
  • The article provides tips on understanding policy coverage and filing appeals with insurance companies.

Source Information