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Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!

SB7308 Posted:

Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!

They are denying a cat scan for me.

My dr. wanted me to go b/c he saw a nodule on my lung from in the chest xray

Oxford is saying thats not sufficient enough for me to get a cat scan!!



W T FFFFFF

I just did a bad thing and googled and now i'm nervous
RadiantBride Posted:

Re: Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!

If you get a second opinion can they still deny you? I had Oxford before and I hated them.

Hope it all works out
CD516 Posted:

Re: Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!

Im with you. I have to go for an MRI on a cyst and im freaking out!!! I just googled it too. I cant believe they wont let you get the scan!? I have cigna and im still waiting to hear back from them. Insurance *****!!! Why do we have to pay so much for them to deny us!?
dajc23 Posted:

Re: Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!

I've always had problems with Oxford

They denied me 3 times for my tonsilectomy. I was put in the hospital for 4 days b/c I had a tonsil infection SO badly that it was spreading through my entire body. But that was NOT a good enough reason to remove them from my body

My doctor fought for me and they finally accepted it.
I hate insurance companies
squeekietoy Posted:

Re: Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!

Do you have Oxford Liberty or Oxford Freedom? If it's Liberty, they are a lot more strict. Have your doctor fight that. Eventually they'll have to approve it.

SB7308 Posted:

Re: Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!


Posted by CD516
Why do we have to pay so much for them to deny us!?


EXACTLY!!!!!!!!!!!!!!!

Aholes!!!!
SB7308 Posted:

Re: Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!


Posted by squeekietoy

Do you have Oxford Liberty or Oxford Freedom? If it's Liberty, they are a lot more strict. Have your doctor fight that. Eventually they'll have to approve it.

\Freedom

He did argue with the Radiology Dept at Oxford
and the guy was a total jerk!
RisiLeigh Posted:

Re: Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!

Is it Oxford Liberty or Freedom? I have Liberty b/c my boss is a cheapo and I HATE them!!! Hardly any doctors even take the Liberty plan!

Believe me, I totally feel your pain! Can your doc write like an 'appeal' to them saying you need this done?
RisiLeigh Posted:

Re: Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!


Posted by RisiLeigh

Is it Oxford Liberty or Freedom? I have Liberty b/c my boss is a cheapo and I HATE them!!! Hardly any doctors even take the Liberty plan!

Believe me, I totally feel your pain! Can your doc write like an 'appeal' to them saying you need this done?



ETA ooops I actually just read the whole thread and see you commented on all this already LOL!

Well, I guess Freedom isnt all that much better than Liberty then! Jerks!!!

They are telling me I cant go for more than 4 PT sessions b/c there's not enough medical reason or whatever to justify it. Well, tomorrow makes my 4th one and then my PT has to write them and say I need more.
SB7308 Posted:

Re: Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!


Posted by RisiLeigh


Posted by RisiLeigh

Is it Oxford Liberty or Freedom? I have Liberty b/c my boss is a cheapo and I HATE them!!! Hardly any doctors even take the Liberty plan!

Believe me, I totally feel your pain! Can your doc write like an 'appeal' to them saying you need this done?



ETA ooops I actually just read the whole thread and see you commented on all this already LOL!

Well, I guess Freedom isnt all that much better than Liberty then! Jerks!!!

They are telling me I cant go for more than 4 PT sessions b/c there's not enough medical reason or whatever to justify it. Well, tomorrow makes my 4th one and then my PT has to write them and say I need more.



Its unreal!!!! Why do we bother paying for insurance then!??!?

So unfair!
Mici n KC Posted:

Re: Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!

Unfortunately for us, people take advantage of the system and then things like this happened where you get denied. Go for a second opinion!

twinkle164 Posted:

Re: Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!

Keep submitting it. I read they turn you down 3 times before they approve you. DO NOT give up.

SusiBtoM Posted:

Re: Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!

File an appeal, and keep on it.

SB7308 Posted:

Re: Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!


Posted by SusiBtoM

File an appeal, and keep on it.


I am going to try that.

Thanks all.
SusiBtoM Posted:

Re: Oxford Insurance suckks!!!!!!!!!!!!!!!!!!!!!!!!


Posted by SB7308


Posted by SusiBtoM

File an appeal, and keep on it.


I am going to try that.

Thanks all.



I took an appeal for my mom all the way in front of an administrative judge, because Oxford would not allow her to have a PET scan.
I lost, but at least I tried.

You will be fine ! Positive thinking that the spot is nothing but a shadow.

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