Reimbursement for VSG

Virgie Tschirhart
on 7/19/09 7:52 am - Midwest City, OK
RNY on 12/27/17
Hi Everyone, 

Just wondering if anyone did self pay for their VSG and then received a reimbursement from the insurance company for the hospital stay. 

I spoke with Heather the finance person at the hospital, Foundation Surgical Hospital of Oklahoma she said they would not send my claim to BCBS Federal, because I did self pay.  I would have to send it.  So as soon as the claim was ready, I went to pick it up.  Heather, wrote a certain code on the claim telling BCBS to send the payment to me, not the hospital since, we had paid them already.   I sent it out the claim the next day.  Few days later, I checked with BCBS and they said they received my claim.  They also said that another claim for the same amount was received electronically from the hospital.   That was the one they worked on first.  That claim did not show that I had paid for the surgery, so BCBS sent my payment to the hospital.  I talked to Heather, she said she did not know why they sent out the claim anyway.  She told me that when they receive the check it will have to go through the channels and then must be approved, it should take about another 4 weeks before I get my check.  Believe me,  I'm very thankful that at least I'm getting some money back.  Just wi**** was sooner than later.

Did any of you experience this with Foundation Surgical Hospital of OK? 

Virgie Tschirhart

Lap Band - 2008, Sleeve - 2009, RYN - 2017

Started Program Weight July 13, 2017 - 194.2

Before Surgery Weight December 27, 2017 - 185.0

Current Weight - February 2018 - 161.0

Anna R.
on 7/20/09 3:51 am - Yukon, OK
Unfortunaly no...I was self-pay and the insurance excluded WLS so no reimbursment here; however, I am very happy that at least you are getting some money back..wish more insurances would get on board!!
(50 lbs lost pre-op)
 
 
Virgie Tschirhart
on 7/20/09 4:45 am - Midwest City, OK
RNY on 12/27/17

Thanks Anna for replying.  I too wish that VSG would be covered.  Maybe it will in the future. 

Virgie Tschirhart

Lap Band - 2008, Sleeve - 2009, RYN - 2017

Started Program Weight July 13, 2017 - 194.2

Before Surgery Weight December 27, 2017 - 185.0

Current Weight - February 2018 - 161.0

fleemore1
on 7/20/09 4:39 am - Harrah, OK
I'm glad you are going to get some money back at least.  I have heard from many that you will have to stay on top of "NAGGING" them to get your money back though.  Call every day if you have too!  After all, it's YOUR money!!!

This is the ride of my life.....what an amazing tool I now have!!!
Virgie Tschirhart
on 7/20/09 4:46 am - Midwest City, OK
RNY on 12/27/17
Yes, I have been calling the hospital and BCBS just about everyday.  Thanks for replying and you look really good in your new avatar picture. 

Virgie Tschirhart

Lap Band - 2008, Sleeve - 2009, RYN - 2017

Started Program Weight July 13, 2017 - 194.2

Before Surgery Weight December 27, 2017 - 185.0

Current Weight - February 2018 - 161.0

fleemore1
on 7/20/09 4:57 am - Harrah, OK
Thank you so much!  I just know when something like that happens if you don't stay on top of it they won't.   You need to post a new avatar too.  I know I still weigh more now than you did when you started but I personally have to remember where I was when I started.  We all our own own journey and goals don't we?  Thanks!

This is the ride of my life.....what an amazing tool I now have!!!
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