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Israel HayomHealth

Alona Saar Considers Switching Health Insurer Over Denied Test

Translated & summarized from Israel Hayom by baba

Center-rightNeutral tone

Hebrew · Sole source

Alona Saar is considering switching her Israeli health insurance provider due to frustration over the denial of a recommended AMH blood test for her endometriosis. After a month of unsuccessful attempts to get the test approved through her current HMO, she feels she has no other option but to switch or pay out-of-pocket.

The story in 5 lines · by baba

  • Alona Saar may switch health insurers due to denied test.
  • The test is for endometriosis and fertility assessment.
  • Her HMO denied requests from multiple doctors.
  • She has been trying to get the test for a month.
  • Saar is frustrated with the bureaucratic process.

Alona Saar, who suffers from endometriosis, is considering leaving her health maintenance organization (HMO) after becoming frustrated with their handling of a request for a medical test. Saar, who has been dealing with the issue for about a month, explained in a social media post that her private endometriosis specialist recommended an AMH blood test to assess her ovarian reserve, which is important for fertility considerations, especially if surgery is needed.

She stated that her HMO, Maccabi, initially denied the request. Her family doctor and gynecologist both submitted requests, but they were also denied. Saar attempted to schedule an appointment with a fertility doctor to submit a new request, but was told this was not possible as she had not previously been treated by that doctor.

Saar expressed her frustration, questioning why she had to plead for a simple blood test. She noted that she had received a notification that her issue was escalated to relevant parties within the HMO, but had heard nothing further. "There is no choice but to switch HMOs or pay for it privately, even though I have a disease and a referral," she stated.

In a separate post, Saar shared a selfie and reflected on how she tends to focus intensely on her own physical ailments while often overlooking similar issues in others.

Israel HayomRight · Tel Aviv

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