Guest guest Posted November 5, 2001 Report Share Posted November 5, 2001 JJ, Just want to mention that I asked the insurance co. for a list of the in network doctors who did this surgery and called them all. When I finished I called the ins. coordinator back and told them that none of the Doctors on their list did the surgery. This is how I got BCBS of MI to approve me out of network. Hope this helps B --- jjamineteoj@... wrote: > I know a lot of you here are interested in BCBS > approvals....I have > BCBS Vermont. I applied for prior approval for > BPD/DS with Dr. Hess > two weeks ago, and...... > > It just came back approved, that's the " good news " . > > The " bad news " is that they approved it at standard > benefit levels, > which leaves me with a 30% co-pay and a $500 > deductible, on top of > the $2500 that Hess asks for. > > Their reasoning was that the procedure was available > in network. It > isn't, believe me, I've looked. I suspect it's > going to be the old > RNY argument, will know more shortly. > > So now I have to convince them of the benefits of > the " Long Limb RNY " > vs. the standard RNY.....this after I FRIGGING > SPELLED IT OUT FOR > THEM, COMPLETE WITH DIAGRAMS in my original request. > > Ahh, if it was easy, everyone would do it.... > > jj > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
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