PRUDENTIAL COMPLAINT & OUTPATIENT NOT COVER?!, Prudentail old plan owner pay attention!
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 Apr 7 2019, 05:08 PM
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#1
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Probation
3 posts Joined: Apr 2019 
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hi, anyone knows if prufleximed covers pre and post hospitalization for day care surgery? Called up customer service but she kept saying 'depending on dr' . Sigh..... The policy only states pre and post for 'admission' but doesnt specify . Agent has resigned. Any replies from the experts would be appreciated. Tq
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Apr 7 2019, 06:46 PM
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#2
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Probation
3 posts Joined: Apr 2019
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QUOTE(roystevenung @ Apr 7 2019, 05:49 PM) Yes it does. You may transfer the servicing agent to an active agent Thanks for your reply. Just to clarify, is the pre and post hospitalization after day care surgery pay first and claim back basis ? Coz the GL would be for the day care surgery only right?Never claimed insurance before so unsure of the regulation and a little worried that will end paying through my nose. Also another question, if the Dr decides to do a scan or any other investigations prior to the surgery would that be covered as well? Surgery= colonoscopy |
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Apr 8 2019, 09:33 AM
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#3
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Probation
3 posts Joined: Apr 2019
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QUOTE(roystevenung @ Apr 7 2019, 07:30 PM) Yes the pre & post is based on reimbursement basis, pay and claim. Do understand that not everything is covered by the insurance, eg, vitamins/supplements/wrist band etc. Thank you Any investigations prior to the surgery must be medically necessary and it is related to the illness/disability. Otherwise, its on your own cost. Therefore, do confirm with the Dr. In any case, once the last follow (post hospitalization) is completed (limited to the 90 days after the surgery), submit all the bills/receipts/invoices/reports for claims considerations. Anything that is claimable will be paid, whilst anything that is not claimable will be deducted from the bill.  |
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