AmberBehindTheChair

community healthgroup insurance

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Hello, I have Community Health insurance through medi cal. Has anyone worked with them for approval or even requirements? I know that surgery is covered however Im a lottle confused if there is a 6 month monitered diet. Thanks in advance!

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I don't know about your insurance company specifically, but a general rule is that it's tough to know, because one company can offer multiple benefit desigs, even with the same type of plan (e g., PPO).

That said, I believe Medi Cal is Medicaid for the state of California. The wrinkle is that it sounds like Community Health is the plan administrator, which means you have Managed Medicaid, not Fee for Service. I don't know if the benefit design is always the same across the state when there is a company administering the plan instead of the government.

Bottom line, your best bet is to call them.

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An alternative to calling them directly, is that many (most?) plans have an insurance expert, my daughter is that person for Massachusetts General Hospital in Boston. I'd never ever want to get on her bad side, she is a tenacious bulldog! :)

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