Marc’s girlfriend found some lumps in her breasts, the mammogram and ultrasound came back ok, but BCBS is denying coverage for the biopsy, saying it’s a “pre-existing condition.” The out-of-pocket cost is over $2,000. We’re confused, BCBS. What pre-existing condition? That she has breasts? That she might not have cancer?
The additional biopsy was recommended by the doctor because of Marc’s girlfriend’s family history of breast cancer.
Some helpful information for Marc: an insider once walked us through how to appeal an insurance company’s denial of care. Consumer Reports has a good appeal guide too.
Our health insurance system truly is sick.