Generator replaced / or can as they call it

Thursday had my pace maker replaced , battery  low, 1 month left, had initial pace maker for 9.5 years.

i live in Carmel Ca., however I’ve kept my cardiologist in Scottsdale Az who I totally implanted my device in 2009.

They have cared for me the entire time, every 6 months I’d visit as well as use the home monitor. My insurance carrier, blue cross/ covered California day they will not cover the procedure since I was treated out of state.  Has anyone had a similar issue? I’m trying to argue continuity of care.

btw the procedure went great! It was out patient, the clinic of my Dr. In at 7:30, out at 9:30

thx

1 Comments

Insurance

by chrispcritter57 - 2019-06-14 18:44:46

I’m not an insurance expert, but it doesn’t surprise me that they are denying coverage. You have to read your plan t&c’s. Years ago, I got a call from my insurance company at 4:45pm telling me they would not cover my open heart surgery (at 6 am the next morning) because they didn’t have a contract with the hospital. I told them they were the only hospital in the area ‘licensed’ to do heart surgery. By 5 pm the insurance company called back telling me they now had a contract. 

BTW, I’d be interested in who your dr is in Scottsdale. I live here now.

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