Question:
Insurance won't pre-certify the procedure. Bc Bs Fed Emp Program

Any one deal with BC BS FEP? They deemed the procedure medically necessary but won't precertify it. This means they will consider payment after the procedure is done! I was told that if they deem it medically necessary, they usually pay for it. I am considering taking the risk and hoping for the best. Has anyone gone through this and what was your outcome. HELP! Rhonda    — R H. (posted on October 11, 2000)


October 12, 2000
Rhonda - I have BC/BS FEP also and they told me the same thing. I asked what criteria was used to determine if the procedure was medically necessary. They advised that obesity was the only criteria required. If that is the case, then I should certainly have no problem <g>. It does sound too easy though, I guess I'll just wait and see what happens. If my surgeon will agree to it, I plan to go ahead with the surgery. If BC/BS will not pay I will fight them with everything I have at my disposal. I choose my battles carefully, but this one is too important not to fight. Let me know if you find out anything new and I will do the same. Best of luck to you. Lynn T.
   — Lynn T.

October 12, 2000
YES!! I had the same problem!! The only way that I could get my doc to schedule my surgery was for BC/BS Fed Employees Program to send him a copy of their WLS Criteria ... Based on what they faxed to him he determined that the procedure would be covered and scheduled my surgery!! A week or so after that I got a letter in the mail from BC/BS stating that my "Admission" had been authorized ... They will pre-cert the admission for the surgery but they wont pre-cert the surgery any more ... Doesn't make a lot of sense to me ... but thats the way the policy current reads ... Have BC/BS send your doc a copy of their criteria for WLS ... if you meet it, there wont be a problem with them paying for it. Hope this helps!!
   — Donna H.

October 17, 2000
Gloriosky!!! I'm having the same problem. I also have the BCBS Federal Employee Program. BCBS says they do not give a "Predetermination of Benefits" anymore, but have precertified my admission. They say they will determine payment after the claim is made (i.e., after surgery is performed). Gastric bypass surgery is listed as a benefit and I have several co-morbidities (diabetes, hypertension, degenerative disk disease, arthritic knees, hips, etc.)so I'm 90% sure I'll be approved. Now I just have to convince my surgeon's office so I can get a surgery date. Wish me luck and say a little prayer for me, please! I am 48 years old, 5'2", and weigh 330 lbs.
   — Dottie K.

May 22, 2001
I have BCBS-FEP as a retiree and am wondering if Medicare will pick up the hospital portion as with any other hospitalization. Anyone have any experience with this?
   — [Anonymous]

August 15, 2001
If it makes anyone feel better, a lady my husband works with just had it done and they paid. My MD says it is almost always covered. I'm going for it. Good Luck everyone.
   — [Anonymous]

February 11, 2002
I am having a real hard time with Federal BCBS. They have denied by surgeon's and his assistant's claims and only paid about $6,000 on the hospital bill of $61,000. They say they need medical records I have asked these be sent. It's frustrating because I am ultimately responsible for these bills, but have no control over what is documented in my medical records, nor whether or not the surgeon's office or the pcp's office send them. Neither do I have any control over whether BCBS loses them or denies receiving them. None of this is in my control but I am responsible for the bills. I don't know if I will ever get this mess straightened out or not. I am wore out with it. I have written BCBS of long letter explaining my many comorbidies and suppling what records I had. I haven't heard a word from them. I hate BCBS and will be glad when I can change. I wouldn't have this insurance again if my employer gave it away free. Curstomer Service people talk but have no authority to do anything.
   — N M.

February 11, 2002
Wow, Nancy, that stinks! I have never heard of anyone with BCBS-FEP having a hard time getting them to pay, I certainly didn't. If you meet the criteria, I don;t see how they can deny you. You need a case advocate or somehting, you may want to contact your union rep if you have one, your benefits office, or your state insurance commission. I am pretty sure you will NOT be stuck with this bill. You need an advocate in your doc's office too, have they dealt with BCBS befre, adn with theses same problems?
   — blank first name B.

February 11, 2002
Wow, Nancy, that stinks! I have never heard of anyone with BCBS-FEP having a hard time getting them to pay, I certainly didn't. If you meet the criteria, I don;t see how they can deny you. You need a case advocate or somehting, you may want to contact your union rep if you have one, your benefits office, or your state insurance commission. I am pretty sure you will NOT be stuck with this bill. You need an advocate in your doc's office too, have they dealt with BCBS befre, adn with theses same problems?
   — M. A. B.




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