LibraryScenariosHow insurance companies define medical necessity
Scenario

How insurance companies define medical necessity

My daughter's eating disorder treatment isn't covered by insurance because they say it's not 'medically necessary' even though she's severely underweight.

Juana
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More people experience this than they realize.

What we've seen

Insurance criteria for coverage often contradict medical expertise and patient need.

Ideas that help explain it
Worth thinking about

“Where Are You with Healthcare justice and the right to health?”

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