c*******y
发帖数: 3008 | 1 我问保险公司是否cover hsg test， claim rep要我的医生把medical records给她
review再告诉我是否cover。 rep看后回复到说不cover， 如下：
BASED ON A REVIEW OF THE MEDICAL RECORDS SUBMITTED, IT APPEARS THAT
THE TREATMENT IS FOR INFERTILITY AND NOT COVERED BY THE PLAN.
THEREFORE, NO BENEFITS ARE AVAILABLE FOR THE HYSTEROSALPINGOGRAM.
但是HSG test怎么会是treatment of service呢， 明明是diagnosis吗！
谁有经历可以给我些advice， how to argue with claim rep？
BTW, insurance 是PPO的， policy benefits是这样写的。“The plan covers
treatment to diagnosis the conditio |
|
