Hi fishes,
I am 29 weeks pregnant and thought to check with TPA but came to know that the network hospital is under GIPSA. My doctor refused to provide me claim approval as its under GIPSA & she wont get anything for the procedure whether i will hv c-sec or normal delivery.. What will I do ? Has anyone came across this kind of situation ?

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Gipsa is actually designed to support the claimants where they cannot charge excess.
You should change your doc, seems shady.

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That's because they will be charging you more than what government regulates the hospitals to charge appropriate money from patients.

It's a wrong practice and must be reported.

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I guess you are saying that hospital is not providing cashless option,if that is the case then you can pay your money and collect all the bills then you can reimburse them from your insurance provider.

Go with your cash but keep all the bills with you especially bill breakup document, I have done it in the past and received more than 80% of money back from insurance.

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