![]() The insurance industry maintains such companies keep health care costs down and help patients by rejecting unnecessary and unproven treatments. ![]() Blue Cross and other health plans often farm out those reviews to companies like AIM. Many insurers won’t pay for certain specialized or expensive treatments unless a patient gets approval in advance. They cut and pasted guidelines created by a company called AIM Specialty Health: “The requested proton beam therapy is not medically necessary for this patient,” one rejection letter read. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure.But the insurance industry doctors who shot down Salim’s appeal did little to consult outside sources, a ProPublica review found. Before making a final decision, please read the Plan’s federal brochure (RI 71-017). This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. The formulary and/or pharmacy network may change at any time. Enrollment in MPDP depends on contract renewal. The FEP Medicare Prescription Drug Program is a prescription drug plan with a Medicare contract. Your MPDP pharmacy out-of-pocket maximum is part of it, not added to it.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |