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Author Topic: Questions for people who paid for internal nail removal out of pocket  (Read 339 times)

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SpeedDialer

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1. Which doctor did the nail removal?

2. When did you do the nail removal?

3. Femur or tibia?

4. How much did it cost you?

5. How long did you need to stay in that doctor's location?

I'm uncertain if I'll be able to get nail removal covered by health insurance. When I ask health insurance company's if they cover the CPT code associated with nail removal, they start asking m questions like 'depends, what kind of device, etc' and 'may be able to cover like 40-60% depends but the insurance will be high' etc. I live in the USA and don't have an LL doctor in my health insurance network so I'm weighing my options (getting a new health insurance, hoping it works for a doctor) or even just saying screw it and paying out of pocket with Parihar for nail removal. What would you do?
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Medium Drink Of Water

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Re: Questions for people who paid for internal nail removal out of pocket
« Reply #1 on: September 12, 2021, 03:48:50 PM »

Are you absolutely sure your insurance company does not have an orthopedic surgeon in its network?  A cosmetic LL surgeon isn't the only qualified person to insert or remove an IM nail.
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SpeedDialer

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Re: Questions for people who paid for internal nail removal out of pocket
« Reply #2 on: September 13, 2021, 04:37:23 PM »

ty!!! Any orthopedic surgeon can do nail removal? Or almost all?
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Medium Drink Of Water

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Re: Questions for people who paid for internal nail removal out of pocket
« Reply #3 on: September 13, 2021, 07:55:03 PM »

Any and every.
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SpeedDialer

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Re: Questions for people who paid for internal nail removal out of pocket
« Reply #4 on: September 13, 2021, 11:47:57 PM »

The only thing I am wondering about is this: would a local orthopedic surgeon take out the internal nail and allow insurance to count towards it?

It seems like Assayag will try but is that common/will most doctors try to get it removed by insurance even though it was put in for cosmetic reasons?
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