unitedhealthcare HMO

Discuss here about Medical Disability claims and Insurance possibilities for PN treatment options
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numb
Posts: 7
Joined: Mon Dec 19, 2011 10:05 pm

unitedhealthcare HMO

Post by numb »

Hi,
i would like to know whether or not unitedhealthcare HMO covers the pudendal nerve decompression surgery. Does anyone on this forum had this insurance? Can you tell me the process and how this can be done?
Thanks.
nyt
Posts: 1165
Joined: Sun Oct 31, 2010 3:24 am

Re: unitedhealthcare HMO

Post by nyt »

Dr. Hibner does participate with my UnitedHealthCare but there are many different kinds of plans that are offered by UHC so whether he particpates in the HMO part you will need to call your insurance company and ask. I have UnitedHealthCare but not the HMO and my surgery was paid for. Your best bet is to call your insurance company and ask them if he is a participating provider and what the benefits will and will not cover. Dr. Hibner's secretary makes all the arrangements for the preauthorization for the surgery.
2/07 LAVH and TOT 7/07 TOT right side removed 9/07 IL, IH and GN neuropathy 11/07 PN - Dr. Howard
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
elija
Posts: 7
Joined: Mon Dec 26, 2011 8:20 pm

Re: unitedhealthcare HMO

Post by elija »

Every short term medical insurance plan is different, so it's hard to say if something would be covered or not. When you call your insurance company, make sure you ask if you have copays or coinsurance because that will make a big difference in how much you pay out of pocket if the doctor is in your network. If you have a hard time finding a doctor in your HMO plan, you can always try to get a PPO plan.
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