Insurance Problems

I wasn't sure where to put this. 

Just received a notice from my insurance company that they have denied payment for the oncotype test from last August.  Geez, took them 6 months to deny?

I think it is around 3600.  Usually I am on top of these things, but I could have sworn that "somebody" told me the oncotype would be covered. Now I do not remember if it was the surgeon's office or the hospital or the insurance company or maybe it was the group running the TailorX study. 

Not sure, but not happy about the bill and probably will not pay it immediately or in installments. 

Has anybody had this experience?  Any advice?

Thanks for all the good help.  I did not want to do chemo as it was not recommended.  I called the study lady and she said I was still in the study anyway, so ??? on that one.

You are right, it is not a bill, just Genomic ? trying to get their cost.  It should be covered for people though.  Kind of stinks.

I will see the surgeon on Monday.  That is where the whole TailorX thing started.  I could ask her, because I thought it was she or her office that told me not to worry about the oncotype cost.  It would be great if she knew.

Thanks for easing my mind.

I mentioned it to the surgeon.  She said she would contact her Oncotype rep. Maybe they will drop it.  I never did receive a bill.

It was 20 and chemo was not recommended.  The concern was insurance rejected coverage.  I am pretty sure the surgeon's office originally told me not to worry about paying for it.  That oncotype would handle if insurance wouldnt pay.  I never received a bill.

Talked to the hospital and insurance today.  Just for others to know.  The BrCa (?) test for the bc gene is about $3000 in my area in the Mid west.  The hospital will take my blood next week, but check with insurance for coverage before processing.  The Cyp2D6 is around $355. 

The insurance lady finally called back and is working on adjusting the Oncotype bill and says there will be some coverage.  She said the genetic test should be covered as well as the CYP2D6.  She was actually very nice.  I was prepared for a battle but it wasn't needed.

And it is good to know that sometimes it is just a silly or clerical reason it got initially denied.  Apparently the oncotype facility was "out of network".  Well, duh, yeah!  Isn't there only one place that does it? 

So when they checked further they realized what happened. Now it does go before some "out of network" review, but hopefully I am on the right track. 

The lady was really nice.  I was prepared to throw it all at her if I had to.  Wasn't necessary at this time and might have actually hurt me, if I had come out 'a blazing'  Sometimes difficult to know when to go to bitch mode.