Q: Is an insurance such as Anthem (Silver Plan) that is provided through an employer required to pay for a mammogram?
I'm currently undergoing chemotherapy and have continued to work. Community North Anderson MD Cancer Center in Indianapolis is where I went for a second opinion and began treatment. They are taking every penny, and continue to do so even though my out of pocket has been met.
A: An Indiana attorney could advise best, but your question remains open for two weeks. A starting point could be to review the policy for any express provisions regarding mammograms. If they are not explicitly mentioned, your physician could be an ally there in terms of determining whether your policy would cover them, and if they would not, what options are available in challenging, either in terms of a pre-authorization, or in the case of an outright denial, how to appeal or take the matter to litigation or arbitration. You may not want to involve attorneys at this point, but if necessary, there are attorneys who handle health care claims. Good luck
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