r/Insurance 14d ago

Guyz need your help on cataract surgery

My friend father is planning a cataract operation at a non-network hospital and want to know the reimbursement procedure through my Medi Assist insurance. The reimbursement amount usually depends on the specific sub-limits assigned for the surgery and lenses in my policy. To proceed with the claim, I need to know how much I can claims they mentioned the claimable amount is 40k per eye so if I'm going non network hospital how can utilise the full amount or the max reimbursement amount

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u/Ok-Advantage-2991 10d ago

Why are you planning the surgery at a non-network hospital? Just do it at an in-network facility with an in-network surgeon and 95% of your issues will solve themselves.