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  1. #11
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    Quote Originally Posted by kkb13 View Post
    Lee Grant Irons-
    I have seen ENTs, general practioners, neurologists and "dizzy experts" in the neurology department, at university clinics and local clinics.
    I am scared to go to a psychiatrist because I worry they will either a. diagnose me with nothing, since that usually seems to happen to me. or b. I will have some sort of mental illness that has no cure or relieve. But yes I suppose that they would know what to do or where to refer me.
    I have reached out to Mayo Clinic in Minnesota. I am waiting back for the types of tests they would want to schedule so I can check with my insurance because it is likely they will deny the request.....I really hope Mayo works out though~
    There are three Mayo Clinic locations: Minnesota, Arizona, and Florida. Have you checked to see if the doctors at any of these clinics are in network for your insurance? If they are, then you should not have any problem.

    Your insurance company should have published a document that tells you what it covers. This would include things that are specifically not covered and things that are covered that different rates than you standard coverage. So typically all other tests, treatments, and medicines that are FDA approved and used per the FDA approved label are likely to be covered if a doctor orders it. Mayo goes strictly by the FDA and AMA book when it comes to tests and diagnoses, so if your doctor visit would be covered, I have a 99% percent confidence that all of your tests would be covered.

    I am concerned that your insurance company might not respond to you unless you actually have a prescription or letter from a doctor stipulating that you need a certain test or treatment. So, I would advise you as follows, based upon my own experience at Mayo.

    1. If you know that your insurance company will at least cover the doctor visit, then schedule that appointment and plan that visit. You would not need further special approval from your insurance company. Mayo will initially set up for you one visit to one doctor. This doctor will be in a specialty that seems most suited to your symptoms. The telephone consultant at Mayo will figure this out for you. It will be a one-hour long appointment. However, the cost is not what you think it would be for a clinic that is rated #1 in the world. Mayo doctors are paid on salary. They are more committed to helping people than to getting wealthy.

    2. Take your copy of your insurance coverage with you to the appointment, so the doctor can use it to consult with you over what tests need to be done and whether your insurance covers them. In that one-hour appointment, the doctor will go over your entire medical history with you. That doctor will then, through Mayo's online scheduling system, schedule tests and schedule appointments for you with other Mayo doctors in other specialties that the first doctor believes may be able to help with the diagnosis. Most, if not all of the tests and appointments will likely be scheduled to occur within the following seven days. Some types doctors, such as geneticists, might not have availability for a month, but all tests will be able to be done and most doctors will be able to see within the same week you visit. Once you have this schedule of tests and other doctors set up by your primary doctor, then you can contact your insurance company about the tests that you either know are not normally covered or that you are not sure about. You would use your primary Mayo doctor's prescription for these tests as a basis for forcing the insurance company to make an expedited decision. Mayo will probably even help you with this process in order to expedite getting the insurance company response immediately.
    Last edited by Lee Grant Irons; 12-04-2013 at 01:32 PM.
    Recovered Anxiety and Depression Sufferer
    Enjoying Life Again!
    Author of "SANE - Reclaim Your Life"
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