Discussions By Condition: I cannot get a diagnosis.

They Won’t Give Me The Test I Need For A Diagnosis

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: Anonymous
  • December 10, 2006
  • 07:40 AM

Suggestions please – especially if you’ve had to battle for the appropriate medical diagnostic testing and succeeded.

Brief history:

No insurance when first symptoms appeared - ER doctor told me that they would normally keep and send someone with my symptoms to a specialty dept. for diagnosis, but they were discharging me because the cost would be too high without insurance.

Primary care clinics were reluctant to do testing without insurance, and symptoms continued for seven months when HMO insurance kicked in. New primary care doctors didn’t want to do too much testing and were reluctant to give referrals to specialists – two of the most helpful doctors told me that the insurance companies aren’t happy when doctors spend too much money.

Insurance company denied several tests, and they dropped my last primary care provider from their plan when she ordered an expensive test for me.
I know the test I need for a diagnosis, but I also know that my insurance will never agree to pay for it, and most doctors won’t fight the insurance company (my last doctor lost the fight).

How can I get the test when I need a doctor’s order (and insurance company’s approval)?

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2 Replies:

  • What test do you need? There are online labs.
    Anonymous 42789 Replies
    • December 11, 2006
    • 03:35 AM
    • 0
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  • Hmmm, if you don't have insurance, you can go to a county hospital, claim your low income, get on the ability to pay program (based on your income), get an initial diagnosis, get a referral to a specialist, ask for the test and the rest is taken care of. I had a hospital bill well into the thousands but my portion was only $26.00 because I was not working and on unemployment at the time. However, if you are working and have medical insurance, the insurance carrier can deny your test because it is due to a pre-existing condition and lately, most HMOs, are denying claims for pre-existing conditions. If you have to pay for it yourself, the hospital may be reluctant to offer the test to you for fear that you won't be able to pay the bill yourself.It's a tough one, you are almost better off being unemployed right about now.
    Anonymous 42789 Replies
    • December 11, 2006
    • 08:22 AM
    • 0
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