What to do for non-emergency medical procedures

What to do for non-emergency medical procedures

If a Non-Emergency Procedure Is Recommended:
  1. During your doctor’s appointment, use the "What to ask your doctor before a Medical Procedure" questions to learn about your potential procedure. These can also be found on the Member Helps page. 
  2. Call Sedera within three days of your doctor’s appointment to notify your Member Services Advisor. We can search our database to make sure you choose a “Best Value” provider. These are medical professionals who offer high-quality care at value-driven prices.
  3. Open a Needs case on the web-app. You will then be assigned a Needs Coordinator who will be your point of contact if you have any questions or uncertainties.
  4. Call the second opinion service associated with your membership. For thecost of your procedure to be eligible for full sharing, you must use this service.  Please submit your consultation before your procedure. This typically takes 7-10 days.
  5. Attach the second opinion consult to your Needs case. 
  6. If you decide to move forward with the treatment, then undergo your procedure.
  7. Attach your bills to your Needs case as you receive them. Make sure your bills are itemized and list treatments and procedures specifically.

SEDERA, INC. DOES NOT PROVIDE MEDICAL ADVICE. The information contained herein is for informational and/or educational purposes only and is not intended or implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.

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