Quote:
Originally Posted by mac9
Joint replacement surgery is CURRENTLY considered elective surgery which is why pre-authorization is required. Was is actually a doctor who told you that or a physician's assistant or someone else who works in the office? They should be chastised for starting/passing on such nonsense.
How do I know this? I have had two knee replacements and it was carefully explained to me by both my physician and my insurance company as I did not believe that it was elective.
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Not sure how you view it as nonsense. If elective surgery wouldn't be covered under the new plan then knee replacement wouldn't be. Right? If that's the case (I'm not sure about the new rules) then the only thing to chastise the doc or PA for would be that they didn't emphasize that knee replacements are currently elective.
I guess the real thing to find out: was the doc right? Will elective surgery not be covered? If that's not the case then chastise away!