And the Nurse Asks?

I recently had the experience of calling my health insurance company for an authorization for a colonscopy anbd the nurse asks why? After a few minutes of conversation about my symptoms she asks if the Doctor did a Rectal exam and I said No. Needless to say she said they(the insurance company) would not approve the Colonoscopy at this time. I asked a few questions and was told to o see another doctor for a second opinon and to get a rectal exam this time. Now if i could Have the privacy to prep please.

My insurance company does not require the first colonoscopy to have a pre-auth, unless it's done well before age 50. Mine was my birthday "present" from my primary care doc...she said she had a present for my 50th birthday, and handed me the forms for the colonoscopy. Gee thanks.

If my doc wants to do another one less than 3 years since the last one, we'd need a prior authorization. However, the doctor would have to convince me that it was ABSOLUTELY necessary or I would object. The preparation was horrible. I still can't drink lemonade, and the test was 8 months ago.

Jeff