The article recounts Sara England’s experience when her 3-month-old son, Amari Vaca, required urgent medical care after experiencing breathing difficulties following heart surgery. Despite following the cardiologist’s advice, Cigna, their insurer, refused to cover the $97,000 air ambulance bill, claiming it wasn’t medically necessary.
Despite appeals, the denial persisted, reflecting broader issues in defining medical necessity and protecting patients from exorbitant bills. Advocates suggest patients appeal and provide additional information to insurers, emphasizing the need for closer collaboration between medical providers and insurers to ensure fair coverage and avoid financial burdens on families.
https://www.cbsnews.com/news/health-coverage-medical-debt-air-ambulance-kff-sara-england-amari
