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I have a question about the 24 hour rule for acute-onset of pre-existing conditions. What if the treatment will need to take longer than that. We would start the seeing a provider within the 24 hours, but they may still be cost reported after that point. Would those be covered?
It would be determined at the time of service based on the attending physician notes and lab report as per the certificate wording of that plan. Should you have additional questions you may also call our office at +1 (866) 467-8289.
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DISCLAIMER: Information presented in our Questions and Answers section is generic and was deemed to be accurate at the time of response. Please use the answers as a guide and do not make decisions based on the answers. The answers presented may be outdated and altogether inaccurate currently or not relevant as the details provided such as the insurance terms and conditions, plan benefits, eligibility and coverage may have changed. Insubuy assumes no responsibility for relying on such answers. You should review the latest certificate wording of the insurance policy (available on this website) for the product you are considering for the latest and complete details. If there is any conflict between the answers provided here and the certificate wording, the details of the certificate wording will prevail.
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