Is anyone else seeing Medicare not pay for prior auth stuff now?
Last year #medicare approved #Botox for #migraines after two hospital admissions where they were billed about $25,000 each.
I guess they figured preventative measures at $5000 a pop would be better than $50,000 in a summer. I had this procedure 20 years ago and after the third round of shots it lasted almost a year and it was amazing.
This time my first round was in December, my second round was in February, I was supposed to get the third set in April but they kept postponing it. I assumed it was a staffing problem. Then I looked at my EOB.
Medicare had paid them NOTHING. I am shocked & I think they are too.
I get financial aid at this hospital so regardless I don’t have to pay, but I also don’t want the Hospital system I appreciate and depend on getting ripped off for $10,000 worth of bills.
I would be freaking out right now if I had this procedure at pain management because that would mean I would be shut off from pain management if I was unable to pay this $10,000.
Maybe it’s just me, but please be warned. It doesn’t seem like having a prior authorization matters much anymore. If you qualify for Hospital financial aid please apply now before they stop giving it out.
I don’t know what to do about this but I canceled my next appointment. They keep moving it anyway I assume they want to make sure they’re going to get paid before they do it again. I don’t even think it’s helping anyway. These are menstrual related migraines not tension headaches triggering migraines.
I sent them a message and I asked them if I should be appealing this before it’s too late. I think I only get 120 days to appeal. Concord Hospital Nurology is so awful I’ll never go there again but I still don’t want them getting ripped off.
