Humana Health Insurance Complaint - You don't meet criteria ma'am!
In April of this year I was evaluated by my neurosurgeon for review of my recent cervical MRI. The doctor's exact words were, "your c-4 thru c-7 look like dog poop." I was then scheduled for disc replacement surgery on 6/1/10, not only because of my results but because of my symptoms-tingling in upper extremity, pain in neck, back and arm, loss of strength in extremity, etc.....until 2 months ago I never took anything stronger than Motrin or Toradol injections for my pain.
On the Friday afternoon before my surgery I received a call from my surgeon's office telling me that Humana has cancelled my surgery because they need to speak with my doctor, how many doctors do you know that are in the office on Friday afternoon with a holiday weekend coming up! I was told he would speak to them on Tuesday and get everything taken care of.
On Wednesday morning I heard from my doctor's office, Humana would not approve my surgery until I went thru with more testing, my abnormal MRI was not good enough for them! The test requires me to have a needle in my spine with a dye injection-I am allergic to shellfish! I am not supposed to be given contrast dye! Now I have to take a medication before this test that is supposed to counteract any reaction I may have when the dye is injected. I called Humana myself to find out why I have to go thru with all this before my surgery is approved-they said I did not meet criteria, 3 times I asked what the criteria were, 3 times my question went unanswered.
So right now, I am damned if I do and damned if I don't. My primary doctor says my allergy should be enough in itself not to go along with this test. If I don't get this test, I am left to suffer with chronic pain.
There are plenty of people who suffer like myself that are on disability, I work in pain everyday, where is my solution?