It depends on the policy and what was specifically covered in the terms of the contract, but generally, most policies will not cover a tubal reversal. The tubal was, in the first place, a deliberate action in an effort to prevent a medical condition; yes, pregnancy is a medical condition. By the standards of most insurance companies, it will be effectively impossible to get them to cover reversal of a tubal ligation.
The main issue in determining coverage is whether the procedure is "medically necessary". If it is, according to a physician, there is a better chance of coverage than if it is elective.
Some companies may cover the whole procedure. Factors involved include what the policy expressly states, the legal requirements of the state in which the policy was issued or in which you live (some require coverage for fertility treatment, so perhaps an argument could be made for this).
Do not downplay the utility of good communication with the insurer and the assigned claims representative. Contrary to popular belief, they are human and may be inclined, given politeness, reason, and a valid argument, to work with you.
Depends on ur insurance carrier! Blue cross Blue shield of Illinois ppo does... all that is needed is a 250.00 deductible! If your employer provides this insurance, chances are you are covered...if you are a male and your partner is having a TR(tubal reversal) it wont cover unless you are married! Personal Experience!
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Some do, some don't. Contact your plan to find out if you are covered and congratulations on your decision.
No. Tubal reversal sugery is considered an elective and/or infertillity treament. Most insurances will not cover either.
I have Medicare and Medicaid can I get a tubal reversal with them.
will husky pay for a reversal
Medicare beneficiaries pay premiums (most people do not have to pay a premium for Medicare Part A); also, working retirees pay Medicare payroll tax.
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Everyone who pays any type of federal tax pays for medicare- Therefore, anyone who pays no federal taxes, does not pay for medicare. CORRECTION: Medicare is funded by a payroll tax, paid by employers and employees, and by insurance premiums. It is not funded by income taxes or other sources. Therefore, persons who are not yet Medicare eligible or who are unemployed and those few who are employed but do not pay Medicare payroll taxes do not pay for Medicare.
Medicare pay bills to those doctors who are associated with Medicare, and doctors who are not associated to it for those you need to refer it to Medicare administration.
a co-pay
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