Question:
Has anyone has surgery using blue cross of california ppo?

Mine pays 90% if medically necessay. What will my cost be/and is it all due up front?    — Lisa W. (posted on April 24, 2002)


April 24, 2002
I just requested totals for my operation I had in Aug. 2000. Once I get them, I shall update my site. I have BCBS PPO through UFCW/Valley Clerks, but since every Insurance is different, I think I paid less than most.
   — Karen R.

April 24, 2002
I have Blue Cross of California PPO. I was approved with the first letter that my surgeons office sent to them. It only took 8 weeks to get approval. I had no problems whatsoever getting my approval.
   — Howard W.

April 24, 2002

   — Kimberley D.

April 24, 2002
I had Lap RNY on 6/29/01 under Blue Cross' Prudent Buyer PPO at Cedars-Sinai in Los Angeles. I believe they paid 90% to the surgeon, assistant surgeon, anesthesiologist, the hospital, and the pulmonary specialist who was necessary in my case. The only amount they didn't cover, that I had to pay up front, was $200 for the psych. eval. If insurance is paying at 90%, I would balk at any provider who asked for the 10% amount up front. In the case of that which isn't covered (in my case, the psychotherapist), asking for up front money is fair enough. All the best to you!
   — CaseyinLA

April 24, 2002
Lisa- I also have Blue Cross of California PPO. It depends on whether your surgeon/hospital is a blue croos provider. If they don't like Alvarado then you do have to generally pay them up front. To find out whether your physician,etc. accept blue cross go to bluecrossca.com.
   — Joanie J.




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