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Self Funded Insurance Plans?

My wife requires a procedure which is not covered by my corporation’s self funded health insurance plan. Is there a form I can file with the plans TPA or with my company itself for special cases to appeal for coverage? P.S. I know I need to work with my Insurance company! We have made numerous attemps calls, doctor recomendations, etc. I need to know if there is a formal process...

Public Comments

  1. You need to work with your insurance company.
  2. You have to work with the HR people in your company. You may have to pay for the surgery out of pocket yourself, if it is considered an elective surgery.
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