Sara England’s baby, Amari Vaca, needed emergency care after struggling to breathe following open-heart surgery. Despite having insurance, Cigna denied coverage for the $97,599 air-ambulance flight, claiming it was not medically necessary. Legal safeguards under the No Surprises Act could have protected them, but insurers have the final say on what is considered medically necessary. Despite two appeals, Cigna upheld the denial, leaving the family with a hefty bill. Patients are advised to appeal bills that seem inaccurate and seek support from medical providers and employers to advocate on their behalf in such situations.
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A Mom’s $97,000 Question: How Was Her Baby’s Air-Ambulance Ride Not Medically Necessary?
