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Insurance vs. self pay

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Hi

I have been hoping to have the MGB with Dr. since 2/19. I have

Cigna/HMO and was turned down due to an exclusion. I hired a lawyer

and appealed and still lost. I now have a complaint into the NC

insurance commisssion. I doubt that will change things. Another

twist with Cigna, is they also have a clause they states they will

not pay for any complications related to any surgery they did not

approve of or they excludes. That is why I could not be a self-pay,

just in case there were complications, a long term hospital stay or

additional surgerys would wipe us out. I couldn't take that chance.

Check your policy for that clause.

Now on a good note...With the help of my benefits manager we

researched the plans my company offers and I will be able to go have

surgery in January through CoreSource. This is because this is a

self funded plan my company offers. I don't know how many of you

have the option to change insurance plans yearly, if you do,

investigate them all. Thanks, , MGB hopeful, January looks good.

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