Will my insurance pay for a hysterectomy? (see details)?
I am a 37-year-old female. I do not plan on having children (my husband had a vasectomy in 1996). I’m on Blue Cross/Blue Shield through my employer.
At any rate, I rarely have physical pain during the month prior to my period. However, once every 7-12 months, I have severe pain on my right side where my ovary is with bad upper abdominal pain, profuse sweating, and a fever. It feels like an ovarian cyst that is slow-growing and then in busts. Many times when this happens, I can barely walk. Ibuprofen and heat barely touches the pain. This has happened for the past eight years.
If I have my gyno write a letter of recommendation, will the insurance company pay for a hysterectomy?
Tagged with: details • Hysterectomy • Insurance
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My
name is Lesli Paterson, right now I live in Oregon, I have 2 kids a 4
year old buy and a 2 year old.
It’s probably a better idea to talk to a doctor about what is going on first.
If the doctor doesn’t deem it absolutely neccessary–some wont even do it.
If they do decide to do it, then it may be seen as an elective surgery.
Go and see a GP about the pain first, and then if they choose to do a histerectomy, ring your insurance company.
Insurance Company’s always find a way to weasel their ways out of it
It sounds like you have been highly reccommended to have it done.. But do not go through with any procedures before checking with your insurance company.
I would say give them a call and ask for their advice and whether you are insured to have it done or not.
Sorry this dont really help. But the best thing to do is just ask your insurance company.
I don’t think anyone on here can really answer that. Blue Cross/Blue Shield has many different plans with different coverage options. Also, it’s hard to say whether they’ll cover it because it’s such an expensive procedure and you may or may not have done what they consider necessary prior to it.
Also, have you investigated other options with your doctor? A hysterectomy is extremely painful and you’ll be on hormones because your body won’t be making the ones you need anymore.
I just had a total abdominal hysterectomy for cancer, paid for by Anthem Blue Cross. The coverage and amount would depend on your medical plan. You can call Blue Cross and ask.
Is your gyno saying that is the remedy, and only remedy, for your condition?
It’s up to every individual, but gynecological organs play a role in our hormonal systems. Not just the ovaries, but now there is some evidence that the uterus does, as well. (Male) doctors have long treated uteruses as only being good for bearing children, and after that, they’re disposable, but they are part of our bodies. Please read on the web as much as you can about the adverse consequences life long of hysterectomy, including increased osteoporosis and earlier onset of dementia, as well as complications of the surgery.
Have you been given a diagnosis yet? And gotten a second opinion, and third – re: diagnosis, and most conservative treatment option?
Also, if you have any interest or willingness to try acupuncture, it may help in ways that western medicine cannot.
When I saw an acupuncturist 3 weeks before my surgery, she put a needle in, near my belly button, that sent a jolt of energy down to my uterus and I literally watched my uterus jump inside my lower belly. It was stunning. It felt like uterus was lifted and suspended by a glow of surging energy flowing to it (the needles are said to open energy pathways along the “meridians” according to Chinese medicine) which is exactly what it felt like it was happening.
I wished I had started going to acupuncture quarterly for a tune-up, maybe I wouldn’t have gotten cancer. I plan to go quarterly from now on. Just something to consider.
Hysterectomy is no picnic. Laparascopic is easier, but it still takes 1-2 years to totally heal inside. I had a 12″ abdominal incision, from my navel, down, almost 4 months ago, and am still limited in walking, lifting, can’t yet ride a bike. If I hadn’t had endometrial cancer, there’s no way I would have done this. Fortunately, the surgeon caught it in time, so she said I have a 95 – 98% cure rate, no chemo or radiation required. So in this instance, it was worth it. So please do your homework, get multiple gyn opinions, and best wishes to you.
You can easily check your minimal health care rates in internet, for example here – health-quotes.isgreat.org