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What are my legal options if my HMO denies my surgery
Sent to Legal Experts November 25 01:03 PM

I have been referred by my primary physician for LapBand surgery. I am getting conflicting answers in terms of whether or not my HMO will cover this sugery. I was approved (by the insurance) for the initial meeting with the surgeon and to start the pre-op tests, but was informed by the pychologist's office that my HMO would not cover the pysch-eval that is part of the pre-op tests. The insurance is through my husband, who is a Cook County employee in Chicago. My question is this:

What are my legal options if my HMO (Unicare)denies my surgery for morbid obesity?

 

Customer (name blocked for privacy)
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November 25 1:14 PM (10 minutes and 53 seconds later)
         
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