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How do you get self funded insurance to pay for necessary surgery?
Kennethearlmiller
Wiki User
∙ 14y ago
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What are my alternatives when self funded insurance rejects an appeal for necessary surgery?
AnswerAs long as it isn't an exclusion of the policy they really can't deny it. Just call the insurance and have someone review it. Shouldn't be a problem.
Can an employer not allow a spouse to join her husband's medical plan if she has medical insurance with her company this is a self-funded plan?
No, they can't. You can have two insurance coverages.
Does Blue Cross Blue Shield Insurance cover the Shingles Vaccine AT AGE 50?
AnswerGenerally yes but self-funded policies might not.
I have been told a discogram is billable as surgery because a needle was inserted into my spine. I was not cut into. Is this true?
Depending on your insurance carrier and the type of coverage you have, the answer should be yes. Any procedure that is invasive is considered surgery by virtually all insurers. That is especially true if it is group coverage through an employer. There are some exceptions depending on whether the plan is self-funded by the employer, the State you live in, etc. But the overall answer for most insurance plans should be that it would be covered.
Who was Juan Ponce de Leon's funded by?
Juan Ponce De Leon was self funded.
List of self insured companies in Ohio?
where can I get a list of self funded employers in ohio
How do you get health insurance if you have been denied and are self employed?
Call your state welfare office and ask if they have a program based on your income for health insurance. For instance, MN has "MN CARE" which is funded from cigarette taxes. In state funded programs you have to qualify of course, usually by sending in a copy of your tax forms from last year, and of course if you work now, your proof of income.
What is a self-funded retirement plan?
minimal assistance from gov
Had cobra insurance but it ended now have no insurance?
If your COBRA continuation of insurance ended, it depends on why it ended and how long ago it ended. For lack of payment or fraud, you may not be offered a conversion policy. If the COBRA duration period elapsed, you should get a notice about your conversion rights, as long as you were HMO or PPO (not self funded).
Can insurance cover breast implants?
Generally, no. Cosmetic surgery is not usually covered under most insurance plans. (If we're talking about reconstruction after breast cancer treatment that's different.)What's more, any treatment of complications may not be covered by your health insurance. Typically, insurance companies will not cover breast augmentation or any reoperations and additional doctor visits following augmentation. Your insurance company might even increase your premiums or drop your coverage.Before surgery, you may wish to get answers to the following questions in writing from your insurance companyDoes my policy cover the costs of the implant surgery, the implant, the anesthesia, and other related hospital costs? To what extent?Does it cover removal and replacement of the implants if this becomes necessary? To what extent?Does it cover the cost of detecting or treating a complication as a result of either the implant or the reconstruction? To what extent?Will there be an increase in my insurance premium? To what extent?Will future coverage be affected? To what extent?
How can you become an home insurance agent?
One can become a home insurance agent through first going to college and equipping themselves with all the necessary knowledge required in this field. Then they may apply for a job in an insurance company or become self employed.
What type of services do HMO's offer?
An HMO is a Health Maintenance Organization. They provide services which include health insurance, self-funded health care benefit plans and provides communication between health care providers and individuals.
