Can I resubmit to insurance?

[jennmonterrozo 139]

So I just received a notice from my insurance that my psych eval was denied because it was not medically necessary. Once the requirements are met and I submit for insurance approval can I resubmit that claim for possible coverage? Not quite sure how all of this insurance stuff works!!

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[catwoman7 11,211]

I don't think they covered the psych part of mine, either. They covered everything else, though. It seems like some insurance companies have pretty limited coverage of mental health-related things in general, sadly.

[Daisee68 2,493]

Do you know what your mental health benefits are under your insurance plan? It may be that they only cover a certain portion, but I'm not sure mental health can ever really be deemed "medically necessary" so it seems odd that is the reason they would use to deny. I would call the insurance company now and appeal. Tell them it is required by their plan in order to get bariatric surgery (assuming that is one of their requirements) and see what they say. Start with that and let us know what they say and maybe we can offer further advice.

[trekker954 421]

My psych evaluation including his clearance letter was $175 for 15 min appt. Not covered by bcbs.

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