Guest guest Posted December 11, 2001 Report Share Posted December 11, 2001 Are you a federal employee with BCBS Anthem in Ohio? The federal standard plan has paid for the DS for several folks in this group. I just went around in circles with BCBS in NC. They don't do predeterminations anymore, just precertifications for the hospital stay. They won't pay til after the surgery, and the docs submitted prove medical necessity. So, I think it's on a case by case basis. I'll be asking folks that had DS with Federal BCBS standard to email me. I had a list, but my new computer hard drive crashed, and took it all. So, I'll have to start over. My surgery date is 01-15-02 --Yeah !!! Siri Re: Anthem BC/BS > Hey, . > > Good to see you around these parts. Did you get my last private > message? What do you think about any of those ideas? Are they non- > starters for you? > > Best, > > > > > Anyone had any luck getting Anthem Blue Cross /Blue Sheild to > approve > > Duodenal Switch? > > > > Everything i have read indicates they consider it " investigational " > and that > > they will not cover it under any circumstances... > > > > Even the center i am thinking about using, > newlifesurgerycenter.org, says > > that BC/BS will not authorize it.. > > > > i really think that DS is for me... They [bC/BS] will approve > RNY, but > > that's it... > > > > Distressed, > > - > > > > _________________________________________________________________ > > Get your FREE download of MSN Explorer at > http://explorer.msn.com/intl.asp. > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2001 Report Share Posted December 12, 2001 Hey, . Good to see you around these parts. Did you get my last private message? What do you think about any of those ideas? Are they non- starters for you? Best, > Anyone had any luck getting Anthem Blue Cross /Blue Sheild to approve > Duodenal Switch? > > Everything i have read indicates they consider it " investigational " and that > they will not cover it under any circumstances... > > Even the center i am thinking about using, newlifesurgerycenter.org, says > that BC/BS will not authorize it.. > > i really think that DS is for me... They [bC/BS] will approve RNY, but > that's it... > > Distressed, > - > > _________________________________________________________________ > Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2001 Report Share Posted December 12, 2001 Dr. Hess routinely gets Anthem to authorize although they don't pay real well so he requires $2500 upfront from anthem patients. Dawn Dr. Hess, Bowling Green, OH BPD/DS 4/27/00 www.duodenalswitch.com 267 to 165 5' 4 " size 22 to size 10 have made size goal no more high blood pressure, sore feet, or dieting! Quote Link to comment Share on other sites More sharing options...
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