Insurers Question Medical Necessity of Prosthetic Limbs, Limiting Coverage - PRESS AI WORLD
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Insurers Question Medical Necessity of Prosthetic Limbs, Limiting Coverage

share-iconMonday, January 06 comment-icon3 weeks ago 8 views
News sources:
cbsnewsCBSNEWS
Insurers Question Medical Necessity of Prosthetic Limbs, Limiting Coverage

Credited from: CBSNEWS

  • Health insurance plans increasingly limit coverage for prosthetic limbs, causing significant challenges for users like Michael Adams.
  • Despite state laws allowing doctors to prescribe prosthetics, insurers often deny requests based on claims of medical necessity.
  • Insurance disparities suggest discrimination, as knee replacements are fully covered, while prosthetic limbs face coverage roadblocks.
  • Many patients unable to afford the co-payments are left in precarious positions, sometimes leading to repossession of essential devices due to unpaid loans.
  • Individuals like Leah Kaplan struggle to obtain insurance approval for necessary prosthetics, highlighting the urgent need for reform in health coverage practices.

For further details, read the original article here.

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