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Catheterization

Old 02-15-2018, 01:26 PM
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Default Catheterization

I have a stent and the FAA requires a post event catheterization in order to get a first class medical. My cardiologist won't order one because it is not "medically necessary". At least two others I have seen have seen said the same thing. One was a supposedly "pilot friendly" cardiologist. From what I can gather I need to keep doctor shopping until I can find one that will order one for me. Before I do that I thought I would see if there was anyone here who has had this done and who you saw to get it ordered. I'm in San Diego but am willing to travel to get it done.
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Old 02-15-2018, 03:09 PM
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Originally Posted by sandiegowannabe View Post
I have a stent and the FAA requires a post event catheterization in order to get a first class medical. My cardiologist won't order one because it is not "medically necessary". At least two others I have seen have seen said the same thing. One was a supposedly "pilot friendly" cardiologist. From what I can gather I need to keep doctor shopping until I can find one that will order one for me. Before I do that I thought I would see if there was anyone here who has had this done and who you saw to get it ordered. I'm in San Diego but am willing to travel to get it done.

Cleveland Clinic is the gold standard when it comes to cardiac procedures. Also, Washington Hospital Center in DC is excellent as well. They have top Electrophysiologists there.
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Old 02-16-2018, 02:53 PM
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Unfortunately it’s an FAA requirement and most cardiologists will question the need for such an invasive procedure after surgery.
But it’s the only way to go with the FAA if you want your medical.
It’s very likely your insurance will not pay for it as it is not medically required. In fact you will find this to be true for many of the FAA tests. I did mine overseas since I was flying there when it happened so it was relatively cheap. It can cost $$$$ in the US.
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Old 02-16-2018, 05:06 PM
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Originally Posted by CaptYoda View Post
Unfortunately it’s an FAA requirement and most cardiologists will question the need for such an invasive procedure after surgery.
But it’s the only way to go with the FAA if you want your medical.
It’s very likely your insurance will not pay for it as it is not medically required. In fact you will find this to be true for many of the FAA tests. I did mine overseas since I was flying there when it happened so it was relatively cheap. It can cost $$$$ in the US.

If you can find a cardiologist who is familiar with FAA requirements, they could "recommend" you get one and then insurance would likely cover it.
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Old 02-17-2018, 04:14 AM
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Originally Posted by WhisperJet View Post
If you can find a cardiologist who is familiar with FAA requirements, they could "recommend" you get one and then insurance would likely cover it.
True statement and worth a try. It didn’t work for me. My cardiologist said the only way insurance would cover a certain test was if I were to be symtomatic. And that obviously would defeat the purpose of obtaining a medical.
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Old 02-17-2018, 08:02 PM
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Originally Posted by CaptYoda View Post
True statement and worth a try. It didn’t work for me. My cardiologist said the only way insurance would cover a certain test was if I were to be symtomatic. And that obviously would defeat the purpose of obtaining a medical.
I had no problem at all getting my cardiologist to order a cath to satisfy the FAA. My insurance company never questioned it.

I guess it depends on your healthcare plan.
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Old 02-17-2018, 08:43 PM
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Might try giving Dr Raniolo a call, he’s in Phoenix.

FAA Flight Physical | Arizona AME | Special Issuance | FAA Cardiologist | FAA Medical | FAA Medical Exam | FAA Special Issuance | Aerospace Cardiology
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Old 02-19-2018, 09:17 AM
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Might be my best option. Thanks
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