Guest guest Posted November 16, 2001 Report Share Posted November 16, 2001 I don't know exactly hows your will work, but I have BC/BS and I will tell you what I understand. Dr. Hess requires $2500 upfront for surgical fees for BC/BS patients. He does not participate in any insurance PPO. He does this because then they decide how much he has to accept for the procedure. Also, when a doctor is contracted the insurance company keeps close tabs on how long hospital stays are for that particular doctor and will try to pull the contract and such as they don't feel the doctor is being most cost effective for them. My understanding is that Dr. Hess will accept $2500 + whatever the insurance pays for the surgical fees as long as it comes to about $5000. Also remember that the non participation thing only applies to the surgical fees. The hospital is a BC/BS PPO hospital so there won't be any addtional " out of network " things for them. Hope this helps. Dawn--South Suburban Chicago area 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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