Re: Help - Anyone with BCBS Federal Standard Plan or any other Federal Insurance Plan Get Approved?

[Guest guest]

Hi,

BCBS Fed is a national program and benefits are NOT SUPPOSED to

change from state to state. HOWEVER, the state in which the services

are provided will refer to there state policy when in doubt.

My surgery was denied in Oregon and I didn't have to appeal it to OPM

because the national BCBS Fed office (in Wash DC) told Oregon to pay

for it. I was able to prove that a historical precedant had been set.

What was good for one Fed employee was good for another.

If the surgeon bills correctly they should approve it w/o any

problems. If any problems occur you can call the DC office and they

will tell the state to pay. Just a note. This wasn't just a phone

call to DC it was many. It took three long letters and many sleepless

nights before they approved it.

So GET THE PRE-APPROVAL!!! DON'T believe them when they say they

won't pre-approve the surgery.