Under a Mandatory Second Surgical Opinion provision, what must the insured do?

Under a Mandatory Second Surgical Opinion provision, the insured is required to seek a second opinion for elective surgeries before proceeding with treatment. This provision aims to ensure that the proposed surgical procedure is necessary and appropriate. By obtaining a second opinion, the insured can confirm the initial diagnosis and the recommended course of action. This practice helps to prevent unnecessary surgeries, which can reduce healthcare costs and improve patient safety.

This requirement is particularly relevant for elective surgeries, where there may be alternative treatments or the possibility of managing a condition without surgical intervention. Obtaining a second opinion supports informed decision-making and encourages dialogue between the patient and healthcare providers, ultimately leading to better health outcomes.