My urologist of 20 years that also treats my IC talked me into to getting PTNS this past summer. His insurance clerk verified with my FED BC/BS that these treatments were covered and I proceeded excitingly. I had failed 4 different types of medications and botox to the pelvic floor. After my sixth treatment I receive an EOB from my insurance that they are not covering my PTNS treatments
I called my urologist's insurance clerk and she assured me there must be some mistake because three of their other patients under the same plan had been covered and not to worry. If they didn't pay, there office would "write it off". She did appeal to my insurance who has apparently denied her appeal stating this procedure is "experimental" and they will not cover any of my expenses. I have received a big fat bill from my urologist and I am very stressed out. I am currently on disability and do not have the money to pay for this, I have been mislead, my IC is flaring, I will have to find a new urologist because I certainly will not go back to someone who has mislead me, etc. The worst part is the treatment was really helping, too. Now I'm back to square one with no relief in sight. Any suggestions would be greatly appreciated.
Thanks, Beachbum


Comment