Trying to get procedure covered
Good afternoon, I would be happy to review your benefits with you today.
According to your specific benefit plan, hysterectomy services that are performed based on medical necessity versus for elective purposes, are payable at a 70% coinsurance level following your $1000 deductible being met. There is a $4000 maximum out of pocket. This would apply to outpatient surgical services performed in network.
There would not be any coverage for services performed out of network.
To locate an in network provider, you can follow the instructions here:
What providers are in my network?
Retrieving data ...