M
MontyBrunswick
Apr 30, 2013 8:20pm
Has anyone had one done? The doctor suggested I get one the last time I was in for my GERD, and haven't gotten around to doing it.
Does insurance typically cover it? I'm finding conflicting results as to whether it is preventative or not.
Does insurance typically cover it? I'm finding conflicting results as to whether it is preventative or not.

like_that
Posts: 26,625
Apr 30, 2013 8:32pm
Vasectomy.

ernest_t_bass
Posts: 24,984
Apr 30, 2013 8:33pm
Just have your throat amputated.
M
MontyBrunswick
Apr 30, 2013 8:36pm
This helps.
Thanks guys.
Thanks guys.

tk421
Posts: 8,500
Apr 30, 2013 9:10pm
my mom is going through this right now, really having trouble swallowing food and stuff. Doctor said they want her to get scoped but haven't done it yet. Don't know anything about insurance, though.

Mohican00
Posts: 3,394
Apr 30, 2013 9:15pm
More interested in your job search. Gonna need a new update soondlazz;1436506 wrote:This helps.
Thanks guys.
M
MontyBrunswick
Apr 30, 2013 9:29pm
I've suffered through it for years, but recently it's been really rough.tk421;1436548 wrote:my mom is going through this right now, really having trouble swallowing food and stuff. Doctor said they want her to get scoped but haven't done it yet. Don't know anything about insurance, though.

TedSheckler
Posts: 3,974
Apr 30, 2013 9:40pm
I had it done a few years ago. They drug you up, so you don't feel anything. You won't even remember it. I just had a minor sore throat the next day, then I was fine.

ernest_t_bass
Posts: 24,984
Apr 30, 2013 10:32pm
TedSheckler;1436586 wrote:I had it done a few years ago. They drug you up, so you don't feel anything. You won't even remember it. I just had a minor sore throat the next day, then I was fine.
That was from a ¢ock.

TedSheckler
Posts: 3,974
Apr 30, 2013 11:45pm
Reported.ernest_t_bass;1436675 wrote:That was from a ¢ock.
But you could be right.

Terry_Tate
Posts: 7,606
May 1, 2013 12:22am
Had bad stomach issues about 2 years ago and had one. Like stated above, you're drugged and won't remember a thing. They said everything was fine after mine so who knows what was wrong. Don't remember how insurance handled it though.

Commander of Awesome
Posts: 23,151
May 1, 2013 12:39am
You forgot the /ETB in the OP. Nice fail

ernest_t_bass
Posts: 24,984
May 1, 2013 6:44am
Commander of Awesome;1436745 wrote:You forgot the /ETB in the OP. Nice fail
I see what you did there!
B
BR1986FB
Posts: 24,104
May 1, 2013 10:03am
I've had it done twice. The second time the doc didn't tell me he was doing it so I didn't have a driver to take me home (which they suggest because of the drugs). So...he had to "go in dry", without the meds. Jesus I thought I was gonna die. Now I know how Linda Lovelace felt.
Insurance should cover it.
M
MontyBrunswick
May 1, 2013 10:15am
It looks like they'd cover it, but I'm not sure if it qualifies as preventative care. If it's preventative care, they'll cover 100% of it. If not, I have to pay the deductible ($1000) and then they'll cover 80% after that.BR1986FB;1436839 wrote:I've had it done twice. The second time the doc didn't tell me he was doing it so I didn't have a driver to take me home (which they suggest because of the drugs). So...he had to "go in dry", without the meds. Jesus I thought I was gonna die. Now I know how Linda Lovelace felt.Insurance should cover it.
B
BR1986FB
Posts: 24,104
May 1, 2013 10:40am
Not sure why it wouldn't be "preventative." Looking down your throat to see if there might be tumors seems kind of "preventative" to me.dlazz;1436845 wrote:It looks like they'd cover it, but I'm not sure if it qualifies as preventative care. If it's preventative care, they'll cover 100% of it. If not, I have to pay the deductible ($1000) and then they'll cover 80% after that.
Q
queencitybuckeye
Posts: 7,117
May 1, 2013 10:44am
Unless it's the same scam many insurers have with their coverage with colonoscopy. It's fully covered unless they find something, then it's on your dime.BR1986FB;1436853 wrote:Not sure why it wouldn't be "preventative." Looking down your throat to see if there might be tumors seems kind of "preventative" to me.

Cat Food Flambe'
Posts: 1,230
May 1, 2013 9:43pm
If they find something wrong during a coloscopy, 80% vs full coverage is going to be least of your worries!!!!queencitybuckeye;1436854 wrote:Unless it's the same scam many insurers have with their coverage with colonoscopy. It's fully covered unless they find something, then it's on your dime.
Unless you have a really generous employer (or are covered by a governmental body like a city or school plan that has tax collectors for salesmen), endoscopes are almost never covered as a "preventative" procedure They normally don't do them until there is an indication of a problem
Typically, it's subject to your deductible, then at a percentage until you meet your annual out-of-pocket limit limit for the year. You'll get two billed services - the facility (a lot of these take plan in "surgical suites", which are treated like an outpatient hospital service; a bill from the physician who actually does the scope. You might also get a bill from a pathologist if the snip off a piece of your innards and send it off for a biopsy.
Q
queencitybuckeye
Posts: 7,117
May 2, 2013 6:01am
Finding a polyp or two != finding something wrong, it's entirely normal, but it changes who pays under many policies.Cat Food Flambe';1437086 wrote:If they find something wrong during a coloscopy, 80% vs full coverage is going to be least of your worries!!!!