Cancer Plcy Correct Stoma Defect Not Covered - 03-01-2016 07:23 PM
My cancer policy is denying my claim for my husband's recent surgery to correct a Tracheostomy defect noted on his last PET scan. His stoma was so small that even a child's size lary tube could not be inserted. Under the surgery benefit the definition of a covered surgery reads "for the purpose of treating a diagnosed cancer." It also has a Prosthesis coverage. Could I claim his stoma as a prosthetic device since it replaces a normal body function?
I think since his stoma was created due to cancer treatment that the correction of the defect is still cancer treatment. It's not from anything else!
Anybody had this fight with an insurance company?
Sheryl
I think since his stoma was created due to cancer treatment that the correction of the defect is still cancer treatment. It's not from anything else!
Anybody had this fight with an insurance company?
Sheryl