Question:
Looking for Someone Who has exactly BCBS of Texas PPO

I am needing some input from any who has this exact ins coverage when it came time for approval and its diet history how critical is that part..please share your experince with me. also e-mail me at [email protected]    — love2eat (posted on April 21, 2004)

April 21, 2004
Sorry, but no one can tell you exactly how your plan is unless they have had the procedure and works at the same company you do. The employers (if you have your insurance thru them) are the ones that set up the benefits between them and the insurance company. It would be best for you to contact the insurance company itself and inquire on your benefit for the surgery. Call the Dr and get the codes they use for the surgery and have them look up your benefit. Once you have the benefit then you'll want to speak with someone in the Utilization Review Dept (they might call it something different), and ask them what are their pre-op requirements for the surgery also with the same codes. I've worked for BC and this is the best way to go about getting the information you need. If you have any other questions feel free to email me @ [email protected]. Good luck! Robin
   — Robin J.