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What are my alternatives when self funded insurance rejects an appeal for necessary surgery?
Wiki User
∙ 14y ago
Wiki User
∙ 14y ago
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When does a physician deem surgery necessary?
Only after a physician has taken the condition and symptoms into account with a complete evaluation of alternatives, will surgery be judged to be necessary
Is all surgery necessary?
Some surgeries are for cosmetic or for aesthetic enhancements and are deemed optional or elective, both by physicians and by insurance plans
How do you get self funded insurance to pay for necessary surgery?
AnswerSend in a claim.
Is there any kind of cosmetic surgery insurance at all?
There are cosmetic surgeries that insurance will cover as long as it is medically necessary. Examples would include breast reduction, eye lifts and nose jobs as long as a doctor can prove to the insurance company that the surgery is medically necessary.
Why or why not should plastic surgery be covered by insurance?
Any surgery that is elective should not be covered by insurance. That is most insurance companies policy. However, many people find a way around their insurance by claiming, either truthfully or falsely, that a particular surgery is medically necessary. These then are the same people who complain about insurance rates. When insurance has to pay out for procedures that are not necessary, it affects everyone because they raise premiums. So, if we want affordably healthcare, we will not lie about medically unnecessary surgery.
Will insurance cover a septoplasty?
You can check the details with your insurance company, but the surgery would need to be proven medically necessary. You can discuss that with your doctor.
Does insurance ever cover cosmetic surgery?
Cosmetic surgery isn't covered under most medical insurance policies. Usually, in order for an insurance company to cover cosmetic surgery, it needs to be considered "medically necessary". For example, if you need reconstructive surgery, your insurance company will cover it only if it was due to an accident or certain illness (like breast cancer).
can i get gastic band surgery with medical or medicare insurance I also have scan?
Medicare pays for gastric bypass surgery only if it is deemed medically necessary.
Does the health insurance cover a plastic surgery for anisomastia in Greece?
Health insurance in Greece generally covers care that is medically necessary, which normally would not include any form of cosmetic surgery. It's hard to see how correction of anisomastia could be regarded as medically necessary.
Can you get free gastric bypass sugery?
Yes, you can get a free gastric bypass surgery if you have an insurance. If you have pass all the necessary requirements and your present medical condition needs the surgery your health insurance will pay all of the expenses.
Are there safe non-invasive alternatives to back surgery?
There are many non-invasive alternatives to back surgery that are safe. Make an appointment with your physician and talk about it.
Is it Worth the Risks?
Before undergoing any surgical procedure, answer these questions: Is the surgery medically necessary?; What are the risks involved in undergoing the surgery?; What type of anesthesia will be used?; What are the risks involved in undergoing the anesthesia? If surgery is NOT medically necessary, explore other alternatives. If the risk of undergoing general anesthesia is too great, explore other forms of anesthesia such as a regional block or local anesthesia.
