Question:
Any info on Pa fair care under bluecrossblue shield covering bariactric surgery?

Pa fair care under Blue Shield Blue cross denied my precert for lapband surgery due non coverage for bariactric surgery. However in my member booklet and medical policy it states that it does cover the service. When I called benifits and told them, they said that it is misinformation and that the surgery is still not covered. Can I appeal on grounds of misinformation? is the insurance obligated to honor the information thats in the booklet?    — Danasha O'Brien (posted on February 16, 2011)

October 19, 2011
I think you have a good case. If it is documented in the member booklet, than they will comply... Check with a free lawyer.
   — ndiamond

January 8, 2012
Hello, I noticed it has been quite some time since your post. Have you made any progress? I also have Pa FairCare and am considering starting the process, and advice would be welcomed and helpful. I hope this finds near the end of your journey! Thank You!
   — Sam3650

January 8, 2012
Hello, I noticed it has been quite some time since your post. Have you made any progress? I also have Pa FairCare and am considering starting the process, and advice would be welcomed and helpful. I hope this finds near the end of your journey! Thank You!
   — Sam3650