Question:
I HAVE BCBS PPO OF ILLS.

HEEEEEEEELLLLLLLLLLLLLLPPPPPPPPPPPP ME. I WAS WONDERING HOW MUCH MONEY THAT I'M LOOKING AT OUT OF POCKET WITH THIS INSURANCE COMPANY..    — MARLO M. (posted on December 5, 2003)

December 5, 2003
Have you been approved yet? If not, they are a booger now when it comes to approval. I had to hire a lawyer to appeal my denial and am still waiting to hear.
   — QUEENS B.

December 5, 2003
It will depend on what type of plan you have and if your using network versus non-network providers. You need to get a list of benefits from your employer to determine what your maximum out of pocket expenses may be.
   — Patty H.

December 5, 2003
Hello. I have the same insurance and had to wait about 8 weeks for approval but I did get approved. I had Gastric Bypass and Gall Bladder removal and the total with all tests included was almost $30,000.00. I guess it depends on your surgeon and everything. I had surgery in September and the insurance still has not paid. They are reviewing my information but since I had pre-approval they will have to pay. I was told I will have to only pay the deductables. So Hopefully it's not that much.
   — AmyWollet

December 6, 2003
I only had to pay the deductable of $1,300. Shelley
   — Shelley M.

December 8, 2003
I had my surgery on 10/22/03 and have yet to receive anything from the hospital. Every plan is different, but you will never be responsible for more than your out-of-pocket maximum. Just my 2 cents, I too had to fight them tooth and nail for approval, as they are getting very strict about WLS. Also, an FYI, starting January 1, 2004, they are requiring subscribers to be on a 6-month doctor supervised diet before OKing the surgery.
   — Amy E.