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Re: 80% v. 100% coverage. How did you convince your insurance?

From: anonymous (anonymous@obgyn.net)
Sun Jul 22 09:26:29 2007


I had to go through the process with my obgyn and pcp. My insurance said if there is no one else in network, then I have to get an out of network authorization and referral. Once that is approved (takes 48-72 hours), then I pay in network prices. So mine will be a $15 copay for the dr and then if I have to have another lap, it will be $15 copay.

At Sat, 21 Jul 2007, lisa wrote: >
>At Sat, 21 Jul 2007, anonymous wrote:
>>
>>At Mon, 24 May 2004, Endo wrote:
>>>
>>>For those of you who have gone out of network for your surgeries, how
>>>did you convince your insurance to make an exception and cover the
>>>surgery 100%? Please do explain in detail what your arguments were and
>>>why you think you were successful and how long it took. Thanks,
>>
>>Actually, this is not a reply, but a request for any answers you may
>>have received,to this important question. Thank you
>
>my Inusrance pays a good bit but ih ave to pay the out of the pocket
>portin up fromt befor my surgieris which sucks but not as bad as paying
>for it all LOL . I payed to the dr about 300 and to the hospital about
>300 up front for each surgery then i have the anisteisia bill which is
>usualy around 100 dollars,. Hope it helps some.




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