Question:
BC/BS of MS said they will cover hospitalization, not bypass.

Insurance company said because of hernia and gall bladder they will cover hospitalization, I need to get my DR to agree to the split billing,,What do I say?? Is it legal? I will pay for the bypass myself.    — stephanie L. (posted on August 7, 2001)

August 9, 2001
What a deal, I would take bcbs up on that one in a flash. I would be sure to clarify exactly what they will pay for.Will they pay for the OR suite, anesthesia, the room, meds etc and part of the surgery bill ie. the hernia repair and GB removal. Make sure you know exctly what is covered. I would imagine your Dr would like this deal. BCBS reimbursement is about 25% of what a private pay cost would be. My surgeon bills about $8ooo for the DS bc will only pay a little less than $2000 for the surgeon. Your situation sounds win win to me.
   — [Anonymous]