aquaprin90
New member
Hey y'all, I need someone to talk to me like I'm a four year old, because I absolutely DO NOT understand health insurance and how any of this works. And please bear with me, this is a long post.
I have been experiencing pretty severe back pain for the last couple of years. Severe enough to leave me bed ridden for days at a time. I married my partner and got on his health insurance plan. I went to an orthopedic surgeon, and they recommended I go to physical therapy.
I did so for about 6 weeks, and started to feel a little better. The PT discharged me and told me to continue my exercises at home, which I did along with swimming and yoga.
However, I still always felt this lingering sensation that if I were to do something wrong, or move abruptly, I would experience the pain again.
And it happened. I wasn't even doing anything strenuous or heavy. I reached to my right to pick something up and was incapacitated once more.
I went back to my orthopedic surgeon and she recommended that I get an MRI.
Health insurance denied coverage since they said I needed to go back to physical therapy. I tried several times and they denied me each time, so I took it upon myself to pay out of pocket for the MRI.
I got the results back today and I have disc protrusions at my L3-4 and L4-5 which will require some injections.
My question is, since there was a valid reason for me to get the MRI done, would it be possible to get my health insurance to reimburse me the amount I had to pay out of pocket for the MRI?
(31 y/o F in Texas 78617)
I have been experiencing pretty severe back pain for the last couple of years. Severe enough to leave me bed ridden for days at a time. I married my partner and got on his health insurance plan. I went to an orthopedic surgeon, and they recommended I go to physical therapy.
I did so for about 6 weeks, and started to feel a little better. The PT discharged me and told me to continue my exercises at home, which I did along with swimming and yoga.
However, I still always felt this lingering sensation that if I were to do something wrong, or move abruptly, I would experience the pain again.
And it happened. I wasn't even doing anything strenuous or heavy. I reached to my right to pick something up and was incapacitated once more.
I went back to my orthopedic surgeon and she recommended that I get an MRI.
Health insurance denied coverage since they said I needed to go back to physical therapy. I tried several times and they denied me each time, so I took it upon myself to pay out of pocket for the MRI.
I got the results back today and I have disc protrusions at my L3-4 and L4-5 which will require some injections.
My question is, since there was a valid reason for me to get the MRI done, would it be possible to get my health insurance to reimburse me the amount I had to pay out of pocket for the MRI?
(31 y/o F in Texas 78617)