Question:
Has anyone ever had their insurance approve their surgery for 50% doesn't sound like

it is even legal. I pay premiums, and I don't call 50% keeping their end of the bargain.    — buhret (posted on May 10, 2001)

May 10, 2001
Check your policy. Some insurances have a 80/20 split, 70/30 and 60/40. They pay the 1st half and you pay the second. But the 50/50 split seems a little bit much unless its because of the type of surgery. Talk to someone in the claims dept. of your insurance company and have them give you all the details and get their name. But, I wouldn't give your name so they can't red flag it. It does happen.. Good Luck to you...
   — Betty M.

May 11, 2001
I have heard of this before.. in cases where the benefit wasn't covered but as an exception they agreed to pay 50% is this a covered benefit on your plan? What does it say under exclusions and limitations? What is your benefit typically? What does the letter or form state that you received stating 50%?
   — Dawn R.