17 Apr, 2021 → by ClaimboUser678072
Colonoscopy Bait & Switch

1

Original review updated by user Apr 18, 2021 My doctor ordered a colonoscopy for me as a preventative procedure. Days later I get a call from Aurora saying my payment would be approx. $3K because it was ordered as a "diagnostic". I immediately emailed my doctor who ordered it and asked why this was being ordered as a "diagnostic"; I've had no problems or issues ever. I STATED (in writing) I WOULD NOT HAVE THIS PROCEDURE IF IT WAS NOT COVERED BY MY INSURANCE. My doctor's office emailed back that my procedure WAS ORDERED AS A "SCREENING" and gave me the code so I could double check the coverage with my insurance. I then called Aetna Insurance and gave them the code my doctor gave me for the screening procedure. Aetna said the procedure would be covered at 100%. I had the procedure 2 weeks later. Three weeks after that I RECEIVED A BILL FOR $3681.81 as it was billed as a "diagnostic" procedure and Aetna would not cover it. Three department officials stated to me, that since I had a colonoscopy in 2013 that had a polyp removed, all subsequent colonoscopies for me would be "diagnostic". This is Aurora's policy. WHY THEN DID MY DOCTOR ORDER THIS AS A SCREENING THEN? And worse yet, wouldn't my doctor tell me that? Why did my smart, savvy internist doctor not know the guidelines of Aurora when ordering colonoscopies?? Aurora will NOT address this issue. I RELIED ON WHAT MY DOCTOR TOLD ME IN ORDER TO DECIDE TO HAVE THIS PROCEDURE. I feel bamboozled. Anyone have a similar story? Any advice out there?
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