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Insurance Question

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My surgeon's office had contacted my insurance company to get

preauthorization for my lower jaw advancement in 2003, got approval

for inpatient surgery and 2 days in the hospital in July 2003. So I

went ahead and got braces to get ready for the surgery.

My company's group number changed, so we needed to resubmit the claim,

which was just denied. When I talked to my insurance company (Cigna)

yesterday, they explained that the original form that my surgeon

submitted was only for the hospital, not for the surgery. The only

oral surgery coverage I have is to have wisdom teeth removed.

So - is there another way to submit the claim? Does this kind of

surgery fall under some other sort of classification, other than oral

surgery? B/c what if something else was wrong with something in my

mouth, like cancer? There must be something, since people need oral

surgery for things other than just wisdom teeth!!

Has anyone else had experience with this? Is your surgery covered

under something other than your oral surgery benefits? Any idea of how

much the surgeon fees would be? It looks like they'll pay for the OR,

meds, and hospital stay still.

Thanks!

Steph

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