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Eldercare
Reply to "Insurance Denied Coverage for Medical Equipment"
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[quote=Anonymous][quote=Anonymous]Insurance can deny because the plan doesn’t provide coverage for what has been requested or because they found it was not reasonable or necessary. If coverage doesn’t exist, you’re out of luck. If you don’t buy the coverage for something the carrier has no obligation to pay for it. If the issue is reasonableness and necessity the question then is what information did the party who looked into coverage provide. Was it complete and on point. And the question is why did the carrier find it wasn’t reasonable or necessary. Once you know these things you can figure out how to proceed. [/quote] Thank you. This is a helpful categorization of the potential issues. [/quote]
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