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Author Topic: US insurance coverage (Dr. Rozbruch)  (Read 720 times)

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hippo60

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US insurance coverage (Dr. Rozbruch)
« on: October 27, 2022, 07:11:04 PM »

Hi all, trying to understand whether any of the surgery costs are going to be covered by insurance.
In Dr. Rozbruch case, I understand his fee isn't covered, but what about the hospital fee?

In ShortLivesMatter's diary, he says insurance paid his entire hospital bill. It looks like that might've been the case for other patients as well. Any idea how? Because based on everything I read so far, LL is considered a cosmetic surgery and won't be covered at all  :-X
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boklecrt

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Re: US insurance coverage (Dr. Rozbruch)
« Reply #1 on: November 06, 2022, 08:32:17 AM »

if you have a medical necessity, deformation it would be covered depending how the doctor describes your diagnosis in his report. are you deformed in any way down there?

if you are completely healthy but just short, forget it, time to fork out the 130k
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hippo60

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Re: US insurance coverage (Dr. Rozbruch)
« Reply #2 on: November 06, 2022, 04:27:33 PM »

if you have a medical necessity, deformation it would be covered depending how the doctor describes your diagnosis in his report. are you deformed in any way down there?

if you are completely healthy but just short, forget it, time to fork out the 130k

Not really, but I saw multiple people here saying their insurance covered the hospital bill. They lied? Pretty sure it was cosmetic...
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Medium Drink Of Water

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Re: US insurance coverage (Dr. Rozbruch)
« Reply #3 on: November 06, 2022, 06:08:04 PM »

If you are extremely short, some insurance companies will cover it for cosmetic reasons.
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hippo60

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Re: US insurance coverage (Dr. Rozbruch)
« Reply #4 on: November 06, 2022, 07:59:58 PM »

If you are extremely short, some insurance companies will cover it for cosmetic reasons.

Yeah, that's kinda what I was hoping for. We'll see...🤞
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lessthanavg8300

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Re: US insurance coverage (Dr. Rozbruch)
« Reply #5 on: November 06, 2022, 09:27:49 PM »

Maybe if you are a legitimate dwarf like 4'5.  Otherwise I cant imagine.  My insurance paid nothing for something else I had to deal with which was extremely serious.  The thought they would pay for LL is comical.
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Gained 3.2CM on femurs for a final height of 5'8.5-5'8.75.

Medium Drink Of Water

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Re: US insurance coverage (Dr. Rozbruch)
« Reply #6 on: November 07, 2022, 12:21:38 AM »

I think the cutoff might be 5'2 for men.
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hippo60

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Re: US insurance coverage (Dr. Rozbruch)
« Reply #7 on: November 08, 2022, 03:44:42 PM »

I think the cutoff might be 5'2 for men.

That's based on your experience in this forum? Not a lot of Rozbruch patients here so data is really hard to come by.
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Medium Drink Of Water

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Re: US insurance coverage (Dr. Rozbruch)
« Reply #8 on: November 08, 2022, 05:34:58 PM »

I remember hearing it from someone.  I don't know if it's accurate.
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hippo60

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Re: US insurance coverage (Dr. Rozbruch)
« Reply #9 on: November 08, 2022, 05:38:38 PM »

I remember hearing it from someone.  I don't know if it's accurate.

Got it, thanks for sharing either way. My gut feeling is it's quite "case by case", and with a small sample size - hard to generalize.
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Medium Drink Of Water

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Re: US insurance coverage (Dr. Rozbruch)
« Reply #10 on: November 08, 2022, 07:30:56 PM »

Insurance companies wouldn't decide on a case by case basis.  If that's indeed their policy, it applies to every member.
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hippo60

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Re: US insurance coverage (Dr. Rozbruch)
« Reply #11 on: November 09, 2022, 08:45:02 PM »

Insurance companies wouldn't decide on a case by case basis.  If that's indeed their policy, it applies to every member.

You mean internally they have a rule about it? I'd be surprised but who knows. A few people in this forum mentioned their insurance paid the hospital bill and they weren't that short (including that guy who was like 5'10 but I suspect he had a really good insurance).
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