Does anyone know what can be done about this? My husband has been required each time to sign an ABN (Advance Beneficiary Notice that the scans likely won’t be covered by Medicare) for his PET/CT scans. Medicare has always paid until this last one. I know there is a limit to how many they will cover so apparently that limit has been met and we now have to pay. Is there a way of appealing this denial and getting it paid by Medicare? Why does Medicare limit the number of PET/CTs a patient can have? What scans do they recommend instead of the 6 month PET CT? Thank you
This is out of my scope of knowledge, but I do believe you can appeal and so can your doctor. You might try the patient advocate foundation (just google) and see if they can help. If not, let me know. Your congressperson too can sometimes help and it is election time! Just call their office.
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