p******k
发帖数: 23 | 1 我完全是按照医生的指示手术后留院观察一天：伤口要输液antibiotics防感染，
passing gas 和 tolerate solid food.
UHC 给出拒付的理由是： Your doctor admitted you to the hospital. You were
admitted for appendicitis. We reviewed the medical information made
available to us. We reviewed the health plan's criteria for admission. We
have determined that you did not require admission to the hospital for this
surgery. The reason is you could have this procedure performed safely in an
outpatient setting. You admission is not covered. The surgery is covered.
We reviewed the following information to make our decision: MSC Care
guideline S-175 ISC ORG Appendectomy, without Peritonitis, by Laparoscopy,
20th Edition.
我完全是按照医生的指示住院观察一天。每年交那么多的保费， 最后急性阑尾炎手术
（Laparoscopy)后住院观察一天保险公司都要赖掉。 美国医疗保险系统真的是糟糕透
顶！！
有人有类似的经历吗？怎么appeal? 是让医生appeal 还是自己appeal? (材料都在医生
那边， 我们也没有专业知识）如果appeal 被拒绝收到医院天价账单怎么办？ | m*****a
发帖数: 2160 | 2 问给你手术的医生这该咋办……
[在 pengjack (Jack) 的大作中提到：]
:我完全是按照医生的指示手术后留院观察一天：伤口要输液antibiotics防感染，
:passing gas 和 tolerate solid food.
:UHC 给出拒付的理由是： Your doctor admitted you to the hospital. You were
:admitted for appendicitis. We reviewed the medical information made
:available to us. We reviewed the health plan's criteria for admission.
We
:have determined that you did not require admission to the hospital for this
surgery. The reason is you could have this procedure performed safely in an
outpatient setting. You admission is not covered. The surgery is covered.
:We reviewed the following information to make our decision: MSC Care
:guideline S-175 ISC ORG Appendectomy, without Peritonitis, by Laparoscopy,
:我完全是按照医生的指示住院观察一天。每年交那么多的保费， 最后急性阑尾炎手术
:（Laparoscopy)后住院观察一天保险公司都要赖掉。 美国医疗保险系统真的是糟糕透
:.......... | V*****i
发帖数: 9883 | 3 取决于你在哪个州，一天的费用可以几百块到一两千，算不上什么天价。
请你的医生出具必须留院观察的意见或有帮助。或者先打电话给保险公司，说明情况，
问他们要什么证明，然后去医院索要。
appeal？
this
an
【在 p******k 的大作中提到】
: 我完全是按照医生的指示手术后留院观察一天：伤口要输液antibiotics防感染，
: passing gas 和 tolerate solid food.
: UHC 给出拒付的理由是： Your doctor admitted you to the hospital. You were
: admitted for appendicitis. We reviewed the medical information made
: available to us. We reviewed the health plan's criteria for admission. We
: have determined that you did not require admission to the hospital for this
: surgery. The reason is you could have this procedure performed safely in an
: outpatient setting. You admission is not covered. The surgery is covered.
: We reviewed the following information to make our decision: MSC Care
: guideline S-175 ISC ORG Appendectomy, without Peritonitis, by Laparoscopy,
|
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