Guest guest Posted June 9, 2000 Report Share Posted June 9, 2000 Anybody out there.... I have insurance with BCBS (federal) and know that they pay for the surgery through North Carolina (federal) BCBS. I received a letter today (the copy of what was mailed to DR. R) stating that the company does not pre-cert this type surgery. They said something to the fact that if it was medically necessary, I should have the surgery and they would determine payment after. I am very worried about this, because they have already done this before (refused a hostipal stay because it wasn't " medically necessary " ; nevermind that I was dehydrated and felt that I was dying). Anyway, that's another story. Please, can anyone offer any suggestions. I surely don't want to be put on that usual time frame thing that insurance companies send us on so often. What can I do? Should I call Debbie Monday? DW Mississippi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2000 Report Share Posted June 10, 2000 Call Debbie. I have them and they are paying with ho problems. It's listed as a benefit in your policy. YOur policy is on line, here's the link http://www.fepblue.org/ You shouldn't have any trouble at all. Flo Need HELP, AGAIN! >Anybody out there.... >I have insurance with BCBS (federal) and know that they pay for the >surgery through North Carolina (federal) BCBS. I received a letter >today (the copy of what was mailed to DR. R) stating that the company >does not pre-cert this type surgery. They said something to the fact >that if it was medically necessary, I should have the surgery and >they >would determine payment after. I am very worried about this, because >they have already done this before (refused a hostipal stay because >it >wasn't " medically necessary " ; nevermind that I was dehydrated and >felt >that I was dying). Anyway, that's another story. >Please, can anyone offer any suggestions. I surely don't want to be >put on that usual time frame thing that insurance companies send us >on >so often. What can I do? Should I call Debbie Monday? > >DW >Mississippi > > >------------------------------------------------------------------------ >Accurate impartial advice on everything from laptops to table saws. >http://click.egroups.com/1/4634/2/_/453517/_/960603855/ >------------------------------------------------------------------------ > >This message is from the Mini-Gastric Bypass Mailing List at Onelist.com >Please visit our web site at http://clos.net >Get the Patient Manual at http://clos.net/get_patient_manual.htm > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2000 Report Share Posted June 10, 2000 Call Debbie. I have them and they are paying with ho problems. It's listed as a benefit in your policy. YOur policy is on line, here's the link http://www.fepblue.org/ You shouldn't have any trouble at all. Flo Need HELP, AGAIN! >Anybody out there.... >I have insurance with BCBS (federal) and know that they pay for the >surgery through North Carolina (federal) BCBS. I received a letter >today (the copy of what was mailed to DR. R) stating that the company >does not pre-cert this type surgery. They said something to the fact >that if it was medically necessary, I should have the surgery and >they >would determine payment after. I am very worried about this, because >they have already done this before (refused a hostipal stay because >it >wasn't " medically necessary " ; nevermind that I was dehydrated and >felt >that I was dying). Anyway, that's another story. >Please, can anyone offer any suggestions. I surely don't want to be >put on that usual time frame thing that insurance companies send us >on >so often. What can I do? Should I call Debbie Monday? > >DW >Mississippi > > >------------------------------------------------------------------------ >Accurate impartial advice on everything from laptops to table saws. >http://click.egroups.com/1/4634/2/_/453517/_/960603855/ >------------------------------------------------------------------------ > >This message is from the Mini-Gastric Bypass Mailing List at Onelist.com >Please visit our web site at http://clos.net >Get the Patient Manual at http://clos.net/get_patient_manual.htm > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2000 Report Share Posted June 10, 2000 Call Debbie. I have them and they are paying with ho problems. It's listed as a benefit in your policy. YOur policy is on line, here's the link http://www.fepblue.org/ You shouldn't have any trouble at all. Flo Need HELP, AGAIN! >Anybody out there.... >I have insurance with BCBS (federal) and know that they pay for the >surgery through North Carolina (federal) BCBS. I received a letter >today (the copy of what was mailed to DR. R) stating that the company >does not pre-cert this type surgery. They said something to the fact >that if it was medically necessary, I should have the surgery and >they >would determine payment after. I am very worried about this, because >they have already done this before (refused a hostipal stay because >it >wasn't " medically necessary " ; nevermind that I was dehydrated and >felt >that I was dying). Anyway, that's another story. >Please, can anyone offer any suggestions. I surely don't want to be >put on that usual time frame thing that insurance companies send us >on >so often. What can I do? Should I call Debbie Monday? > >DW >Mississippi > > >------------------------------------------------------------------------ >Accurate impartial advice on everything from laptops to table saws. >http://click.egroups.com/1/4634/2/_/453517/_/960603855/ >------------------------------------------------------------------------ > >This message is from the Mini-Gastric Bypass Mailing List at Onelist.com >Please visit our web site at http://clos.net >Get the Patient Manual at http://clos.net/get_patient_manual.htm > > Quote Link to comment Share on other sites More sharing options...
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