Need Advice on health insurance coverage!!

Posted in the Health Insurance Forum


Alpharetta, GA

#1 Jan 9, 2014
I suffer from severe chronic sinusitis which is really affecting my life. My ENT highly recommends balloon sinus ostial dilation (balloon sinuplasty) as an effective and safe procedure with minimal risk to fix my specific issue that is causing the sinusitis. The other alternative is endoscopic sinus surgery but given my adverse reaction and recovery from previous procedures (deviated septum, tonsillectomy and adenoidectomy), my doctor and I feel that the risk is too high for endoscopic sinus surgery. My insurance provider has denied pre-authorization because it claims the procedure is never medically necessary and always investigational. They say they are not convinced it is as effective as endoscopic surgery and will not grant an exception where that surgery is not a viable option. The procedure is covered by practically every other insurance provider including medicare and Medicaid. I have requested an independent review.
Any advice would be much appreciated. In the event the procedure remains denied, is there any form of supplemental insurance that would cover this.
Thanks in advance.

Since: Jan 14

Nasik, India

#2 Jan 16, 2014
There are many health coverage insurance plan you will get in the market. but it will be not sure that which plan will be beneficial for you,If you are getting trouble in finding the health insurance coverage plan then you must see the online sites that will help you in getting the beneficial coverage health insurance plan for you.

Des Plaines, IL

#3 Jan 17, 2014
hey we are doing a survey on health insurance plans to help people get recommendation on plans. Please take these short surveys, they are just 4 Yes or No questions each:

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