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Insurance Coverage For Oxygen

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Hello all,

As many of you already know, I am prescribed oxygen for constant use. I am having a problem with my rheumatologist AND pulmonologist not wanting to sign the CMN. Does anyone have any insight on why a Dr. would not want the liability? I have three doctors treating my lungs (rheumatologist, pulmonologist and on that specializes in PAH) and no one wants to sign this form for the oxygen company. Apparently without this form my insurance may not cover oxygen.

Thanks,

Jen

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Hi Jennifer,

i would think that the dr that prescribed the oxygen would sign the form. Why won't they sign it? It just doesn't make sense.....

 

Hugs,

Lisa


Lisa Bulman

(Retired) ISN/SCTC List Coordinator

(Retired) ISN Sclero Forums Assistant Manager

(Retired) ISN Assistant News Guide

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International Scleroderma Network (ISN)

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Hi Jen,

 

That does not make sense. IF they want you to have oxygen and prescribe it then they should follow through with the company who provides it. I don't get it. DOes it have to do with who is responsible for payment? Susie54

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Hi Jennifer,

 

I agree with the rest...how bizzarre! Whichever doctor prescribed the oxygen, should be the one to sign all the necessary forms for you to get it. I think I would call that doctor and ask them why they won't sign it and explain that without that form and their signature, you can not get the oxygen.

 

Warm wishes,

Heidi

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I know....it is too weird. The specialists want my general dr. to sign but the problem is, I just moved to a new state and don't have a new dr. yet. My one in Arkansas won't do because it's out of state. Since I'm in the middle of changing insurance I don't want to just run out and get a new dr. until I am on the new plan. It's a mess. You'd think one out of three that I've been seeing for 2 years would do it. We'll see. There is not debate on whether it's a medical necessity so I do not get it.

 

Jen

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Hi Jen,

 

Over the past year and a half since my daughter's diagnosis, I have learned that no one will advocate for you or your loved ones--you just have to do it yourself. My aunt is a psychiatric nurse who has been in the medical field her entire life (she's in her 60s). She has suggested in the past when I have received denials that you ask for a letter stating that they are DENYING your request, and why they are choosing to do so. Doctors and insurers are afraid of getting sued or being accused of malpractice (some rightly so!!!) so they tend to listen a little more when you become a little more aggressive. There are so many websites that you can go to on the web that explain your rights, and what to do if you are denied coverage that is medically necessary. Good luck. How are wedding plans coming along?

 

Jennifer

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Hi Jen,

First of all - congrats!! I agree with Jennifer totally. I rather doubt there is a reason each physician won't sign the form, probably no one wants to be accountable. I am a nurse, but until I embarked on the "sclero dance" last fall with an assortment of different specialists, blood tests, MRI's, EGD's, etc., I had no idea how the medical field has really changed. Patients used to be able to depend upon their doctors to "take care of them" ie. sign forms, call with test/lab results, etc. Those days are OVER!!

Each of us needs to advocate our own care and many times the care of our parents. Don't get me wrong, I believe the physician will eventually call, but not on a timely basis. Get pushy girlfriend.

PS -Have a GREAT day tomorrow

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