AARP Medicare Complete Complaint - Complaint
MILTON, FLORIDA -- My husband has pancreatic cancer. After endless hours on the telephone with Secure Horizons, UHC I was asked how many procedures we are talking about. "I said 3 x 52 = 153 procedures. She said OK 153 procedures and gave me pre-aproval to use procedure code 62360 for my husband. It was explained that this code was exclusively for the procedure, they did not require a code for what goes into it, i.e. if use saline, no code is required. My husband has been getting his procedure three times each week. UHC paid approximately two each month and denied the rest as "813 included in global package".
After several months of endless phone calls, I am now told that they will only pay for this procedure every ten days.