Submitted by [deleted] t3_z77om2 in personalfinance
AllTheyEatIsLettuce t1_iy5irif wrote
Reply to comment by [deleted] in Medical Emergency specialist not covered by health insurance by [deleted]
>I get that it’s not the kind of emergency
It's not any kind of emergency if the customer received a recommendation to seek care elsewhere other than an emergency department/room. That's the insurance seller's position and it's not going to blink.
What you're asking (?) the insurance seller to do is make what's called a "network gap exception" in order for the customer to seek necessary health care from "OON" vendor(s) and have the insurance seller reimburse the vendor(s) at the "IN" rate. Assuming the vendor(s) agree to (1) take/accept/participate in the insurance seller's reimbursement scheme in general and (2) accept the reimbursement rate(s) for <something_here> in particular.
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