The Breast Diaries

Persistent Patient Prevails Against Insurance Company

September 26th, 2011

This 49-year-old woman had cancer in her left breast a few years ago, and was treated with a left lumpectomy and radiation therapy. Worried that the cancer would come back and be found too late in her dense breasts, she’d heard about breast MRI in her survivors’ support group, and decided to ask her doctor to send her for one. Her doctor agreed, and gave her a prescription for the test. But her insurance company didn’t approve it, even though her doctor ordered it.

The insurance clerk she spoke with after she was notified of the denial told her she didn’t need to have the MRI…

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