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Re: Why must I get an order to get a mammogram
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Exactly. This insurance pay claims according to codes and sometimes there are training issues either on the part of the doctors office or the insurance company. I got my doctor to send over an ultrasound as a preventative based on the fact that I don't have breast and can't get a mammogram. She sent it over and I'm waiting to hear back. A couple of years ago, I had an MRI approved as preventative and I didn't have to pay a co-pay or meet the deductible. On the other hand, I received a bill for having an accident and fracturing my vertebra and having to spend a couple of days in the hospital. The bill was almost $700. I called and the billing department told me that it was because I hadn't met my deductible for the year. Well that was the same year I had my nipples done so that wasn't the case. I called my insurance company and the hospital just filed the claim again. I think sometimes people are paying bills (not necessarily the case here) because they just don't know. I know that's the case with my mom. She pays every bill that comes in the mail and I told her not to do that. I know I have saved her a ton of money. She has some type of machine she uses at night for sleep apnea...the insurance company paid for it and later, she got a bill for the same machine that was already paid for. I think it's just terrible. I could go on and on about bills my mother has received that she should not have...but I've done enough.
Also, even if you haven't met your deductible and you have to pay out of pocket, you should only be paying the contracted amount agreed upon by the insurance company and the doctor. That amount should be a fraction of the amount they would charge an individual.
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