Question:
Have anybody had BCBS federal to deny their claim after surgery?

   — Dedee (posted on September 26, 2003)

September 26, 2003
My mother who had surgery on August 4th got home on the 6th and when talking to the insurance company that day she was told that they do not cover lap and they wouldn't be paying for the surgery. She got a bill from fairview that said they paid it so we are happy for that. With that insurance they only give pre-cert instead of pre-auth like I had. Call and appeal if necessary. Good Luck. 6/27/03 292/228/??
   — horserider0146

September 27, 2003
I had an open RNY, but I heard they won't pay for Duodenal Switch - as they still consider it "experimental". BTW - I was exactly at 40BMI w/minimal co-morbids.
   — jengrz

September 27, 2003
BC/BS denied payment after precertifying me. It took a few phone calls and turned out to be some kind of coding glitch. I got a second denial of payment letter the day after they actually paid the surgeon. They are screwy but be persistant and they will pay.
   — Carol S.

September 27, 2003
I had an open RNY 07/01/03 using BC/BS Federal and they have been wonderful. I paid $100.00 to the hospital and 20% for all other bills. My total expenses come to around $700.00 dollars.
   — Debra W.

September 28, 2003
I KNOW IT IS SCARY WHEN THEY HAVE YOU DO THE SURGERY BEFORE THEY TELL YOU ITS COVERED.I HAD IT 7-14-03.I AM JUST RECIEVING BILLS.I HAD TO PAY $100.00 CO PAY FOR HOSPITAL STAY.THE BILL WAS 24,649.15.THIS WAS ALL PAYED THE DR WAS 8900.00 AND I HAVE TO PAY 211.II.BUT I HAD COMPLICATIONS AND HAVE GALLBLADDER SURGERY FRIDAY. SO A 2-3 WEEK SL HAS TURNED INTO 11 WEEKS SL.GOOD LUCK AND E-MAIL ME WITH ANY QUESTIONS.
   — patty L.

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