Question:
Has anyone ever had a pre-existing clause lifted from their BC/BS policy?

I have spoke to a supervisor and he thinks I should grieve my situation. So I faxed a letter. They will not DENY or APPROVE my request for pre-approval for the surgery. I need help on how to go about this. The hospital will not go head without pre-approval for payment from insurance co.    — [Anonymous] (posted on May 10, 2001)

May 11, 2001
I too had a pre-exsiting clause on my BC/BS. As there are many different types of BC/BS, I don't know if this will help you or not. When my papers went in for approval from the doctor's office I finally got a call and they told me I wasn't approved because of a pre-exsiting clause (and the fact that I had this insurance for 6 months) that said I had to wait 12 months and reapply. Maria in my dr's office asked was there a way to get around the pre-exsit clause. They said if I had proof of continuning coverage I could request a waiver. I did have the HIPPA paper that they give you when you leave one job to go to another one that said I had have coverage for the last 18 months. I faxed the HIPPA paper to BC/BS and on the faxe cover sheet wrote. Please extend waive to my request for surgery. Please find attached proof of continuning coverage.They received it and I was approved the next day.Surgery date is July 24. Good Luck on your journey. I know I'll see you on the other side.
   — Debi M.