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Are ESI doctors given the instruction that angioplasty can be done only on a patient who is dying.?

I have already had a heart attack and a total of 7 specialists have said that angioplasty is required. However, I have not been able to go for angioplasty as the ESIC which is supposed to bear the costs have their own set of doctors. And according these doctors, angioplasty can only be done on patients who are having a heart attack and are unable to stand on their own. Is there any such govt. directive to ESIC doctors.

Update:

@ happydawg: In case you have no idea of what I am asking, why do you have to answer it. If it is just for 2 points, do let me know. In that case, I will give you 10 points and hope you will let the next 4 questions passed, unmolested.

3 Answers

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  • ?
    Lv 6
    10 years ago
    Favorite Answer

    Obviously ESI doctors are not correct giving that kind of statement but the problem in our country is that nothing can be done to fix such a situation . There is no civilized redressal mechanism except if you know some politician who can pull the string for you . Conflict with doctors does not help .

    Source(s): self
  • 10 years ago

    It seems obvious that ESIC is a type of insurance and that they are requiring "pre-approval" for angioplasty.

    There are two reason I can think of:

    1) There is growing evidence that angioplasty is not always better than medical treatment in some patients. Yet you have 7 specialists that recommend it in your case.

    2) The most likely reason is that they don't want to pay in order to save themselves money. That happens in the US and all over the world.

    See if ESIC has an appeals process. Never take a first denial for a final opinion.

    If the appeals fail, is there a government agency that oversees them?

    Finally, see if local media (newspaper, TV, radio) are interested in your story. Tell everyone how the company is treating you.

    Best of luck.

  • 10 years ago

    Im sorry you don't like my answers. I am a surgical ICU RN and work in Case management. I know you probably don't understand the significance of that, but if you ever land in a hospital and meet with your case manager, you will get it. Don't care if you like my answer.

    Im going to tell you this, and you can do what you want with it. Angioplasty is not elective surgery. If your physicians have told you angioplasty is required, you should have no problem getting authorization to have the procedure. You need to appeal the decision from ESI to deny you to have the procedure. Never would a physician tell an insurance company they will only provide a service if you are not able to stand. I work with insurance companies all the time..and never heard of ESI.

    Good luck and prayers.

    Source(s): PS: I don't need 10 points, so kiss my asp.
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