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Any idea on how a health insurance company determines eligibility of surgical procedure recommeded by one's doctor?
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April 10th, 2009
from iPhone
It has been recommended that I undergo a surgical procedure and I am dubious about whether or not it will be covered by my health insurance. Some insurance companies apparently consider the procedure experimental, and will not cover it. That prospect is bumming me right out, because this procedure could mean living PAIN FREE!!!! So, the question is a two-parter:
1. Howdo insurance companies determine eligibility of procedures?
2. Have you had an experience with having to have a procedure pre-certified?
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