Tag: nia/magellan

Pre-denial of care is the new normal; how patients can fight and win against bad behavior from big health insurers.

Pre-denial of care is the new normal; how patients can fight and win against bad behavior from big health insurers. Has your doctor ever told you that your care, or your test has to be pre-certified? Pre-certification is required for common tests such as an MRI and other advanced diagnostic test.  Pre-certification has effectively been used to decrease the amount of tests ordered simply because doctors for years have ordered too many tests. It is not common for Magellan or for other companies who are hired by large insurance companies to be the gatekeepers for tests that may cost $800 dollars Read More »