We’ve had some discussions about this as other members have had to fight to get surgery approved out of network; because it’s such a tricky surgery you need to get someone experienced with this, but unfortunately the insurance companies don’t understand this!
Here’s some links:
I’m asking for my eagle syndrome familys help - General - Living with Eagle
Update …final appeal - General - Living with Eagle
Dr Osborne- Blue Cross Blue Shield Out of Network Waiver-2025 - Welcome / New User Help - Living with Eagle
What Network Gap Exceptions Are and How They Work
I’m UK so can’t really give you advice, but hopefully these discussions will be helpful!
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