Guess What?
I've been noticing some descrepencies (sp?) in my Horizon BCBS statements, for instance, they paid the assistant for my WLS at the in network rate, and they paid my surgeon at the out of network rate. Now I knew that my surgery was considered out of network and I was prepared to pay the 30% co ins, because my Doctor is the best!!! Anyway, I called customer service, and I asked why the difference, and the rep is like, " HMMMMM, it looks like your surgery was based upon a medical neccessity, this should have been covered at the In network level of benefits. I'm like really? She's like "es, let me go back and process these claims at 100%!!!!!!!!!! You shouldnt be liable for any co ins or deductible."I am ecstatic!!!!!!!!!
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