They don’t have a resconstructive surgeon in our area, the closest one it 54 miles away. They are therefore legally required to then make an exception to the “in network” requirement, but they are saying approval for such will take 6 weeks... the Oncologist says that is too long to wait. We found a reconstruction surgeon willing to accept their rates, but they still refuse to speed up the six weeks.
She is required to have a particular MRI before they will approve payment for her mastectomy but that MRI also requires pre-approval from them, that takes two weeks, for no explainable reason.
That’s just two examples.