Lisa Medina, 22, of Michigan, was born with Tessier Cleft, a congenital defect that has left her underdeveloped face slashed wide-open on both sides - from her roofless mouth to the empty spaces where her eyes should have been, reports mlive.com.

First, Medicaid told her they wouldn't cover her next surgery because it was cosmetic.When they finally realized it was a medical necessity, Medicaid said it couldn't pay for an out-of-state surgery - and Medina's doctor is based in North Carolina.

What do you think? Have you ever struggled with an insurance company to pay for a needed medical procedure?