My wife has to have a spinal fusion in her lumbar spine any idea what this intel’s ?
According to your specific benefit plan, inpatient and outpatient hospital services such as surgery are payable at an 80% coinsurance level following your $4500 deductible being met. There is a maximum out of pocket of $7900.
This applies to services that are rendered in network.
Please note, some services do require prior authorization. This is obtained by having your provider contact our Clinical Intake team at 800 - 523 - 0023.
Best wishes to your wife on her surgery.
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