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Getting your medical expenses covered by your health plan can be frustrating, but a little knowledge can go a long way.

You can start by checking the following on your health plan:

  • Do you need a referral form from your primary care physician in order to see the specialist?
  • Does the plan require prior authorization for a planned surgery or hospital stay?
  • Do you have to select a physician from a network for the charges to be fully covered?
  • What does your plan cover?
  • What does it limit or exclude?
The flowchart below illustrates a typical HIPEC treatment reimbursement process.

Reimbursement flowchart deliniating the HIPEC treatment insurance process

If you're already been denied for HIPEC treatment, click here to find out more about the appeal process.

Please don't be intimidated by the process. Many patients initially denied coverage have successfully appealed health insurance denials for HIPEC treatment.