Guest guest Posted October 13, 2004 Report Share Posted October 13, 2004 I just read the recent posted messages about insurance problems and I was wondering who your insurance carriers were? I'm only asking because right now I'm waiting to hear back from my insurance carrier BCBS of MASS about my pre-approval of surgery. Even though the people who posted messages had problems with payment, I am assuming the surgery was pre-approved....I can only hope I hear something positive back from my insurance company within the next few weeks. Thanks. -nate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2004 Report Share Posted October 13, 2004 I just read the recent posted messages about insurance problems and I was wondering who your insurance carriers were? I'm only asking because right now I'm waiting to hear back from my insurance carrier BCBS of MASS about my pre-approval of surgery. Even though the people who posted messages had problems with payment, I am assuming the surgery was pre-approved....I can only hope I hear something positive back from my insurance company within the next few weeks. Thanks. -nate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2004 Report Share Posted October 13, 2004 When I was first going about getting my surgery paid for, I didn't have a job with health benefits. I applied for coverage through my husband's company, which offers BCBS of TX. They declined my request based on them not being able to cover anything after my 19th birthday. I filed an appeal using a letter that had been successful for another gentleman but cutting and pasting over the parts that were pertinent to me. Again, I was denied for the same reason. Many people may or may not know this, but just because BCBS of TX covered his surgery and not mine was not the fault of BCBS, but rather the group coverage that my husband's company opted to carry. From what I understand, the group number made all the difference, which is most likely why this gentleman with the same problems as me was covered, and I wasn't. Luckily, once my health benefits kicked in at my place of employment, it was one of the few carriers that my OS accepts. My insurance coordinator filed for a coverage request with them, and it was granted without any hesitation. We were really in a pickle over how we were going to pay for my surgery there for a few months, but we were fortunate that everything worked out in the end. Now, we're just waiting for all the bills from the hospital to get everything straightened out once and for all. > > I just read the recent posted messages about insurance problems and I > was wondering who your insurance carriers were? I'm only asking > because right now I'm waiting to hear back from my insurance carrier > BCBS of MASS about my pre-approval of surgery. Even though the > people who posted messages had problems with payment, I am assuming > the surgery was pre-approved....I can only hope I hear something > positive back from my insurance company within the next few weeks. > Thanks. > > -nate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2004 Report Share Posted October 13, 2004 When I was first going about getting my surgery paid for, I didn't have a job with health benefits. I applied for coverage through my husband's company, which offers BCBS of TX. They declined my request based on them not being able to cover anything after my 19th birthday. I filed an appeal using a letter that had been successful for another gentleman but cutting and pasting over the parts that were pertinent to me. Again, I was denied for the same reason. Many people may or may not know this, but just because BCBS of TX covered his surgery and not mine was not the fault of BCBS, but rather the group coverage that my husband's company opted to carry. From what I understand, the group number made all the difference, which is most likely why this gentleman with the same problems as me was covered, and I wasn't. Luckily, once my health benefits kicked in at my place of employment, it was one of the few carriers that my OS accepts. My insurance coordinator filed for a coverage request with them, and it was granted without any hesitation. We were really in a pickle over how we were going to pay for my surgery there for a few months, but we were fortunate that everything worked out in the end. Now, we're just waiting for all the bills from the hospital to get everything straightened out once and for all. > > I just read the recent posted messages about insurance problems and I > was wondering who your insurance carriers were? I'm only asking > because right now I'm waiting to hear back from my insurance carrier > BCBS of MASS about my pre-approval of surgery. Even though the > people who posted messages had problems with payment, I am assuming > the surgery was pre-approved....I can only hope I hear something > positive back from my insurance company within the next few weeks. > Thanks. > > -nate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2004 Report Share Posted October 13, 2004 I have Vytra--usually a very maxiofacial-friendly company...and again, most was, but the sudden change to deny genio 2 wks pre-op was surely not...and slow pay...they tell me at the OS, this IS Vytra's normal pace. They DID approve (unchanged) upper, lower and a 2 nt stay...they actually denied the genio when they approved the change from outpatient to 2 nt stay...exchange????dunno, but raw deal for sure. Don't know about BCBS...sorry. Just get as much as you can in writing and log calls and representatives bec you can't imagine the he said-she said they can play.....(my customer serv rep told me when I called after the change to NO on genio that her computer system showed I was never covered for it...and I was STARING at TWO letters signed and approved by V as she said it!!)Hmm! Good luck with the surg! JO > > I just read the recent posted messages about insurance problems and I > was wondering who your insurance carriers were? I'm only asking > because right now I'm waiting to hear back from my insurance carrier > BCBS of MASS about my pre-approval of surgery. Even though the > people who posted messages had problems with payment, I am assuming > the surgery was pre-approved....I can only hope I hear something > positive back from my insurance company within the next few weeks. > Thanks. > > -nate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2004 Report Share Posted October 13, 2004 I have Vytra--usually a very maxiofacial-friendly company...and again, most was, but the sudden change to deny genio 2 wks pre-op was surely not...and slow pay...they tell me at the OS, this IS Vytra's normal pace. They DID approve (unchanged) upper, lower and a 2 nt stay...they actually denied the genio when they approved the change from outpatient to 2 nt stay...exchange????dunno, but raw deal for sure. Don't know about BCBS...sorry. Just get as much as you can in writing and log calls and representatives bec you can't imagine the he said-she said they can play.....(my customer serv rep told me when I called after the change to NO on genio that her computer system showed I was never covered for it...and I was STARING at TWO letters signed and approved by V as she said it!!)Hmm! Good luck with the surg! JO > > I just read the recent posted messages about insurance problems and I > was wondering who your insurance carriers were? I'm only asking > because right now I'm waiting to hear back from my insurance carrier > BCBS of MASS about my pre-approval of surgery. Even though the > people who posted messages had problems with payment, I am assuming > the surgery was pre-approved....I can only hope I hear something > positive back from my insurance company within the next few weeks. > Thanks. > > -nate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2004 Report Share Posted October 13, 2004 Dear Nate, I live in Boston. What are you having done, who is your surgeon, and in what hospital will you be? I also have BCBS of Mass and I have gotten pre-approval for my November surgery. The question is, what does pre approval mean? Is your surgeon in network? Who did you have for insurance? I just read the recent posted messages about insurance problems and I was wondering who your insurance carriers were? I'm only asking because right now I'm waiting to hear back from my insurance carrier BCBS of MASS about my pre-approval of surgery. Even though the people who posted messages had problems with payment, I am assuming the surgery was pre-approved....I can only hope I hear something positive back from my insurance company within the next few weeks. Thanks. -nate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2004 Report Share Posted October 13, 2004 Dear Nate, I live in Boston. What are you having done, who is your surgeon, and in what hospital will you be? I also have BCBS of Mass and I have gotten pre-approval for my November surgery. The question is, what does pre approval mean? Is your surgeon in network? Who did you have for insurance? I just read the recent posted messages about insurance problems and I was wondering who your insurance carriers were? I'm only asking because right now I'm waiting to hear back from my insurance carrier BCBS of MASS about my pre-approval of surgery. Even though the people who posted messages had problems with payment, I am assuming the surgery was pre-approved....I can only hope I hear something positive back from my insurance company within the next few weeks. Thanks. -nate Quote Link to comment Share on other sites More sharing options...
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