QUESTION
My son needs JawJoint surgery.We have been rejected by our ins company for the diagnostic exam.Does FS 627.419 require ins to cover this? & surgery?
Asked on Oct 20th, 2017 on Insurance - Florida
More details to this question:
We submitted the paperwork for the diagnostic testing the doctor performed and we have been rejected. We also submitted the quote for the surgery to see if they would approve it. I thought FS 627.419 requires insurance companies to cover TMJ(jaw Joint surgeries). Thanks! Lenny Portelli
1 ANSWER
Consumer Debt Collector Harassment & Abuse Attorney serving Tampa, FL
Partner at
Tischhauser Law Group
2 Awards
627.419 doesn't guarantee that the services are paid for - it simply prevents an inusurer from arbitrarily excluding them. You ay need to hire a lawyer at some expense to fight with insurer if there isa dispute about issues like medical necessaity, etc.
Answered on Oct 22nd, 2017 at 5:43 AM
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