Insurance questions BSBC HMO vs. PPO
Does anyone have Cal Pers Blueshield HMO or PPO and had plastic surgery approved. I have the hmo and was considering the ppo to see if I could get things approved. Any one have experience with either? If so, what documentation did your doctor submitt to get things approved.?
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Gastric Bypass Dr. Troy La Mar 03/12/08
Anchor Cut, Extended Tummy Tuck Dr. Pearlman D. Hicks 12/17/10
Starting weight 265, Goal Weight 130, Current Weight 145.
Gastric Bypass Dr. Troy La Mar 03/12/08
Anchor Cut, Extended Tummy Tuck Dr. Pearlman D. Hicks 12/17/10
Starting weight 265, Goal Weight 130, Current Weight 145.
Last year when I was at the point of deciding between the HMO or PPO plan, I called the surgeon I was interested in using and asked them. Surprisingly enough they recommended the HMO. The PPO does not do pre-auths, so they found that it was harder to get paid rather than with the HMO that pre authorizes and you know exactly what they will/.will not pay.
I have Michigan Blue Care Network. The ppo was through Blue Cross Blue Shield of Mich.
You can also call the insurance company and find out what they have to say.
I have Michigan Blue Care Network. The ppo was through Blue Cross Blue Shield of Mich.
You can also call the insurance company and find out what they have to say.
Delores Moore
it's never too late 
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