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19 replies to this topic

#1 lala

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Posted 06 October 2015 - 01:51 PM

Hi all,

 

just wanted to know what is covered in the insurance policy? I underwent a kidney stone procedure and it was cashless but the doctors prescribed a host of tests which I paid for and now wants to get reimbursed. Is this covered in insurance? although it is but the insurance company is saying that some of these test were not neccessary and thus refusing to pay.

 

Do you need to check with insurance policy or do you believe in doctor who is recommending the tests?

 

Regards



#2 MedChitChat Team

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Posted 08 October 2015 - 08:46 AM

Dear lala,
Nobody can predict that how many tests will be done for kidney stone procedure.
There is no specific list of test which must be applied on every person. Althogh it depends on the types of stone you are suffering from, you can find more details www.belmarrahealth.com/faster-kidney-stones-disease-analysis-method-developed-using-raman-spectroscopy/

Thanks.

#3 KhushiKhurana

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Posted 13 October 2015 - 06:48 PM

Hello lala,

 

In such case first consult with your doctor and then talk to your insurance company.



#4 Guest_Wasim_*

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Posted 16 May 2017 - 05:43 PM

Well, Before you get into tests or hospital it is always necessary to contact you insurance provider and let them know about your treatment. Henceforth this would be helpful.  



#5 Guest_Guest_*

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Posted 01 June 2017 - 08:24 PM

HI LALA , 

YOU GET COVERED FOR YOUR PRE HOSPITALISATION TEST.BUT THERE R SOME CRITERIA TO BE FULFILLED.THIS PARTICULAR FEATURE IS CALLED AS PRE HOSPITALISATION.WHERE IN ALL UR TESTS AND TREATMENTS R COVERED BY THE INSURANCE POLICY BUT THE TEST SHOULD BE IN LINE WITH THE TREATMENT FOR WHICH U R GETTING HOSPITALISED FOR...LIKE IN YOUR CASE IF U WERE GETTING HOSPITALISED FOR UR KIDNEY STONE THAN YOUR TEST SHOULD BE ONLY FOR THE SAME DISEASE.THAN YOUR INSURANCE COMPANY WILL PAY YOU YOUR CLAIM MONEY.AND ALL THESE TESTS AND ALL SHOULD BE DONE WITHIN 30 DAY PRIER TO YOUR HOSPITALISATION.

 



#6 azizkhan3083

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Posted 21 June 2017 - 02:08 PM

Hi ,

 

Ideally the test should have been covered since it fall's under pre -hospitalisation category.

 

But to be on a safer side you should always inform the insurance company in advance to get a clarity about it.

 

 

 



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