Insurance with exclusions
I have had the surgery, but self-paid. I am insured by Planned Administrators as a self insured company. I work at a hospital and am in middle management. Our senior executives actually make the decisions regarding exclusions. So far, the GB has been excluded as well as complications associated with GB. They are re-considering since we do GB surgery here. Anyone have any info as to whether anyone has ever changed a self-insured group policy decision and what data they provided to prove the benefits?