You don't want to know why something isn't covered by insurance that you think might help you,
or your doctor thinks might help you, or it's an alternative. I'm going to read you this.
This is Medicare guidelines section 2251.3. I'm quoting this to you.
A treatment plan that seeks to prevent disease and enhance the quality of life,
or therapy that is performed to maintain or prevent deterioration of a chronic disease
is deemed not medically necessary. I'm going to read this to you again.
A treatment plan that seeks to prevent disease, that sounds like a good idea, right?
A treatment plan designed to prevent disease or enhance the quality of life also sounds like a good
idea, or a therapy that is performed to maintain or prevent deterioration of a chronic disease.
So if you already have a disease and we're trying to prevent it from getting worse,
all these things that I just mentioned are deemed by Medicare not medically necessary.
So when you go to comment on a post like I might make or some other providers might make and you
want to go, oh, I don't believe it because it's not, if it's not covered by my insurance,
I don't believe it's worthwhile. This is Medicare guidelines and most
insurances, if you don't know some people will comment on this and say absolutely this is the
way it is. People who are in the insurance business know what Medicare decides sooner or later will
be what other insurance companies decide to do. Medicare sort of sets the table and everybody
else sort of just follows along comes to dinner. Bottom line is just because it's not covered
doesn't mean it's not good. It just means that they consider it not medically necessary.
Anyway, let me know in your comments what you think of this. Put it in the comments
below. Go ahead, write it down there. Dr. Dave Morrison, Magnolia Medical Center here,
Murfreesboro, Tennessee. Take care today.