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SheRa1964

New User, Becoming EHEALTHy
Joined: 10 Aug 2007
Posts: 6
Mri and Health Insurance
Posted: 08-10-07 17:04pm

I need to have an MRI and my insurance deductible is very high, $5,000. I have not been working for about 6 weeks due to sciatica (I ended a temp job before that) and am in a lot of pain. My husband makes pretty good money but really not even enough to pay for the bills we have now. We are severely juggling. I cannot afford to get an MRI because it's thousands of dollars. What should I do? I know people keep telling me to make payments but I already making a lot of payments. I just know after the MRI will come physical therapy and maybe surgery again. I've went down this road 6 years ago.
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caronephd

New User, Becoming EHEALTHy
Joined: 10 Aug 2007
Posts: 5
Location: Syracuse, NY USA

Posted: 08-12-07 17:47pm

Dear SheRa1964:

Good grief! A $5,000 deductible is very high indeed. Did you know this was the case when you signed up for the insurance or is this the only option that insurance provides through your work. If you have a union at your work, you should definitely bring this up to the benefits department.

Physicians constantly deal with patients who do not have adequate insurance and I am sure this will not be the 1st time your doctor encountered this situation with a patient. I think your best course of action is to ask the doctor how important the MRI is in terms of guiding treatment. It sound slike he already knows it is sciatica. Sometimes, physicians just order MRIs as a matter of routine follow-up so the MRI may not be crucial. After explaining the situation, ask him what the course of treatment would be based on the most possible scenarios that that the MRI would show. Usually, the phhysician will order physical therapy 1st as conservative treatment, so it probbaly makes most sense to start with that since it would probably be suggested no matter what the MRI shows.

Was your injury work-related and are you receiving workers compensation for short term disability? If so, you can bypass your regular insurance and go through workers compensation. If not, looking into alternative insurance plans available to you in the meantime is another thing you can do. For example, can your husband add you to his insurance, which would likely have a lower deductible. Keep me posted. You are in a tough situation.

Dominic A. Carone, Ph.D.
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