Saint Louis, MO asked in Health Care Law for Missouri

Q: I am an amputee with ongoing infection in my stomp I was recently sent to get an MRI and Medicaid refused it

I am currently in risk of having my lower limb cut above the knee. In the past when I've had infection I was able to get x-rays CAT scans and MRIs with no problem but this time they said since I didn't have a fever they denied me. Do I have a claim against Medicaid can I sue them for not letting me get an MRI that possibly could have saved me from getting cut above the knee

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1 Lawyer Answer
Tim Akpinar
Tim Akpinar
  • Little Neck, NY

A: A Missouri attorney could advise best, but your post remains open for two weeks. I'm sorry for your ordeal and frustration in obtaining vital medical care. If your denial is based on medical necessity, your primary care provider or the specialist who referred you for the MRI should be able to help you with this. Review your denial for information regarding grounds for appeal. If you are not able to resolve this, reach out to a Missouri attorney who handles health care claim denials.

Move quickly - most insurance carriers, whether public or private, impose strict timelines for appeals.

Good luck

Tim Akpinar

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