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Many insurance policies will only pay for treatment that is deemed medically necessary. For instance, many policies will not cover plastic surgery for cosmetic purposes. Ask your agent whether the company or physician determines medical necessity under the policy, and ask for examples of what is and is not considered medically necessary treatment.
This article is intended to be helpful and informative. But even common legal matters can become complex and stressful. A qualified health insurance lawyer can address your particular legal needs, explain the law, and represent you in court. Take the first step now and contact a local health insurance attorney to discuss your specific legal situation.