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If a doctor sends you for a procedure that is not covered by insurance how can you get your insurance company to pay for it?
Wiki User
∙ 15y ago
you can ask your doctor to write a letter of medical neccesity and even ask for an alternate benefit if one is available for the procedure. However, if it is stated in your benefits handbook that it is not a covered expense, you more than likely are wasting your time and the insurance company will not pay.
Wiki User
∙ 15y ago
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What recourse do I have when a doctor sends me a bill for a procedure because the insurance company has denied coverage for what I think is a bogus rationale?
Take the Insurance company to court. The Doctor has to be paid by some one. and in the end it is you that is responsible for this.
Does my insurance provider cover bariatric surgery?
Begin by reading the "Exclusions" portion of your insurance policy. If this procedure is excluded there is little you can do. If, however, this procedure is listed in the "Covered Services" portion of your policy the procedure will be covered if it is medically necessary. This may require you and your doctor to submit an appeal if the initial authorization was turned down.
What does 'a medical deductible' mean?
That is insurance terminology. It is a portion of a covered claim that the insurance company will not pay and that you have to pay to the doctor or hospital yourself.
Who files the claim?
When one visits a doctor's office, their insurance information is usually collected. After the visit, the doctor's office will bill the insurance company directly for their services. If any of the expenses billed are not covered fully by the insurance company, the individual will likely receive a bill from the doctor's office.
Can a doctor or hospital bill you for an expensive medical procedure that they never confirmed with your insurance company?
yes they can as long as you siged the paper that states that it is ok to treat you Yes. Whether you can get out of paying because they didn't check with your insurance and inform you that it wasn't covered is a different question.
Cost of medical procedure without insurance?
Ask your physician what the cash price is for the procedure. Sometimes you can get a discount when you pay cash. You save the doctor's office from having to file with an insurance company for payment.
Is transportation to the doctor from a nursing facility covered by insurance?
maybe, it depends on what insurance
Does a doctor have the right to charge you more than the copay on your insurance?
That depends on 2 factors..1. is your doctor in your insurance company's network if no then yes he/she can charge you up to the billed charges subtracting what if anything your insurance company paid. 2. Is things like labs, x-rays and procedures covered under your copay or do they apply to your deductibles and coinsurance? When in doubt contact your insurance company
Chiropractic services, how many vist are covered in a year.?
It depends on your insurance provider. Call your insurance company and ask them how many visits they will cover and then see if your chiropractor honors your insurance. If they do not, find a doctor who does honor it.
Can a doctor bill for procedure they did not do but had coverage for?
That would be insurance Fraud!!
Need a list of doctors covered?
I need orthopedic doctor covered my plan of insurance
How much is the gastric band procedure?
Gastric band surgeries can range from $17,000-$30,000. However, these procedures are increasingly becoming part of the services covered by insurance. Consult your doctor and insurance provider to see if you are eligible for the surgery and coverage.
