MRE and insurance : Anyone have any... - Living with Fatty...

Living with Fatty Liver and NASH

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MRE and insurance

Scared2022A profile image
7 Replies

Anyone have any idea on how to get insurance to cover an MRE scan on the liver? The network providers only have FIbroscan and I have a high BMI.

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Scared2022A profile image
Scared2022A
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7 Replies
Pita123 profile image
Pita123

In my case my primary doctor requested it from an out of network imaging center after they got approval from my insurance. What did your PCP say?

Scared2022A profile image
Scared2022A in reply to Pita123

He isn’t too concerned about fatty liver unfortunately

waterstop profile image
waterstop in reply to Scared2022A

If he’s not concerned I might consider a different PCP

Pita123 profile image
Pita123

I think you can go direct to the insurance company through an appeal. Otherwise, see if a different PCP is better for your needs. Good luck!

infosearcher profile image
infosearcher

Fibroscan (along w/bloodwork) could be sufficient in helping draw your baseline.

I could be wrong here, but in this scenario, MRE's might only be ordered by a hepatologist or maybe a GI. (Depending on availability)

Interesting that MRE is not available throughout your network. My hepatologist is in network but not affiliated w/ my PCP and GI's medical system. I have to travel an hour to see my hepatologist/ MRE.

Try not to stress too much until you know what your really up against. Hope you can find answers soon. 🙏🏾

waterstop profile image
waterstop

I called my insurance directly, first to find out that my new hepatologist from Cleveland Clinic was in network. And then I called to find out if the facility performing the MRE was in network and then if the MRE itself was covered. Fortunately, it all was. I would start by calling your insurance provider.

andrewax2 profile image
andrewax2

I was able to obtain mine through a Gastro sending the request.

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