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View Diary: ACA Question (28 comments)

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  •  There is typically a therapy progression (7+ / 0-)

    The insurance company might have rules that require all therapies short of surgery be attempted and analyzed before surgery is approved. She should find out the most aggressive way to treat her back that is covered under her plan, and try that next.

    "let's talk about that" uid 92953

    by VClib on Fri May 16, 2014 at 06:17:45 PM PDT

    •  Yeah, and that isn't good medicine all the time (4+ / 0-)
      Recommended by:
      VClib, AJayne, Lujane, ybruti

      My partner hurt her knee.  The doc sent her for an xray (not that useful for knee injuries).  Didn't find anything so they sent her to Physical Therapy.  Kinda made everything way worse.  Finally sent her for an MRI, which found that she had 2 fractures, a shredded meniscus, and various other injuries.  The required PT made the damage worse.  

      All of these steps were required by the insurance (which is platinum level from Healthcare.gov), but if they had been more aggressive from the start, she would be way better off right now.  She is eventually going to have to have her knee replaced because of the damage.  And she had REALLY healthy knees before the injury, although severe osteoporosis probably contributed to the problem.  Of course they didn't consider that when they made her go through their progression of treatment.

      "The next time I tell you someone from Texas should not be president of the United States, please, pay attention." Molly Ivins

      by janmtairy on Fri May 16, 2014 at 06:33:49 PM PDT

      [ Parent ]

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