bcbs don't get in need help

I had unicare was approved for surgery it was schduled for jan 28th on the 1st my insurance changed to bsbc my surgery is covered and I have met the requirements but they say they do not require pre certification for the surgery that they bill after surgery so how do they know you meet all the requirements first and my dr's office just wants a statement staying I'am approved and they won't give them one all they say is sumbitt claim for surgery and it makes me un easy why wont they just send the dr a letter stating I'am approved if I have meet all requirements and its a covered procedure can anyone help me I live in new york but my insurance is bcbs of michigan.

Your doctor can call and get the medical critera for BCBS of Michigan.  As long as you can substantiate that you have met the medical critera then you will be ok with the surgery.  BCBSM does not do pre-auths for Gastric Bypass surgery unless you do not meet the medical critera - so a letter from them is out of the question.  Have your surgeon give them a call and they can explain it all to them.

It's your surgeon's responsibility to make sure you meet all the requirements of BCBS before they perform the surgery ---- or they won't get paid once they bill it.  So get copies of all the paperwork that proves you met all the requirements (medical history/chart, dieting history, psych eval, pcp letter, etc.).  That's all you need to do. Good luck! Pam