Although I'm no expert, I wouldn't plan on being reimbursed later if the reason why your insurance company is denying payment because of the experimental/investigational clause. That's why most of us have been denied. I hired an attorney, did all of the appeals. My case went to an out-of-state ombudsman, and a panel of "experts". One of the panel of 3 said my insurance company should pay for it, the other two said that it was investigational/experimental, so the insurance company isn't paying. Majority rules. Lawyers and the Insurance Commissioner imo have no influence or say on any of it.
I live in the great state of NY, and I have been told by everyone I've asked (including two of the original doctors in the trials and several representatives from DuPuy) that there is not a health insurer in the state that is paying for it.
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