咨询一个向保险公司报销针灸的问题

f
flora2023
楼主 (北美华人网)
保险本身cover针灸N次,我submitted a claim for 针灸,结果保险公司让我联系american specialty health.今天收到了American specialty health寄来的信件,让我填一堆表格,看起来很复杂,不是很理解这个流程。不是应该保险公司来直接cover掉嘛?

Y
YTD1Smore
Cigna吧?两年前就移交给ASH了。
“American Specialty Health (ASH) is taking over processing and payment for Cigna members for many states. Cigna is no longer credentialing acupuncturists to provide services to members or accepting or processing any claims. They decided to partner with ASH to facilitate all claims for various specialty services, including acupuncture. If acupuncturists wanted to stay in-network for Cigna members, they needed to join ASH by September 1, 2021. ”
u
umizumi
就当作没针灸保险吧,ASH就是HMO,是PPO保险不想管针灸,就把针灸单独算HMO,只有in network的才管,都是些廉价针灸师,自费不超过50的。
d
dinglingling
我的保险也是规定每一年做针灸n次, 然后不是保险付钱给医生,也是楼主说的这公司来付的,而且他们还会问你是否有车祸等意外发生,因为这样是不用保险来负担的