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Health insurers limit coverage of prosthetic limbs, questioning their medical necessity
(www.cbsnews.com)
this post was submitted on 25 Dec 2024
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Practicing prosthetist for about 15 years now. The fights we have with insurance for coverage get worse every year while copays and deductibles continue to increase.
At least in the case of the hand in the article they likely hit denials on a multi articulating hand, claiming it's not necessary over a simple open-close hand. I fight that fight every day and it's absolutely BS to limit access to these types of hands or myoelectric devices in general just because they're more expensive than an old school body powered hook.
Ask anyone in healthcare and they'll tell you something has to change. The system does not work for the majority of working people.