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Frequently Asked Questions Insurance

I got bad information from a Plan's customer service representative and obtained medical care based on this information. Will the OPM order the plan to pay?

Problems arising from oral discussions are very difficult to settle later because they are impossible to prove or disprove. In contractual situations such as under the FEHB Program, oral statements can never be regarded as official and, so, we state in the brochures that oral statements made by any representative of a carrier cannot modify the benefits described in the brochure.

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