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Coverage for a Procedure Hi, My MIL went to a PCP today as she was having chest pain while climbing stairs. The doctor did an ECG and advised angioplasty. She had this procedure done 8 yrs back. Now she is 49 years old. She has Atlas America insurance with 50000 dollar max limit for acute onset of preexisting conditions. Will that procedure be covered by Atlas America. Please advise as we need to take some important decisions on the treatment based on the coverage and out of pocket expenses. Thanks Kala
Kala, From what you have described, there is no way to tell in advance like this whether something would be covered or not. In fact, nobody can tell that. Please read /visitor-insurance-acute-onset-of-pre-existing-conditions/ for further information. In short, it will be determined by the claim department AFTER the providers submit all the medical records and physician report to them, and NOT BEFORE that. I am sorry that I could not be any more specific. If there is anything else that we can help you with, please feel free to contact us at any time.
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DISCLAIMER: Information presented in our Questions and Answers section is generic and was deemed to be accurate at the time of response. Please use the answers as a guide and do not make decisions based on the answers. The answers presented may be outdated and altogether inaccurate currently or not relevant as the details provided such as the insurance terms and conditions, plan benefits, eligibility and coverage may have changed. Insubuy assumes no responsibility for relying on such answers. You should review the latest certificate wording of the insurance policy (available on this website) for the product you are considering for the latest and complete details. If there is any conflict between the answers provided here and the certificate wording, the details of the certificate wording will prevail.
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