BCBS Horizon

[New day ahead 40]

Anyone have the insurance BCBS Horizon? The phone inquiry I had was ridiculous. I called to see if the surgery would be covered and the girl on the end gave me such a run around! She said "bariatric (with emphasis on bariatric) surgery is not covered under your plan. I replied" really? I can't believe you would rather pay for years of diabetic complication, possible stroke or heart attack". Once again she repeated the statement. I said what about appealing and she said it again. No other words. I then was a bit perturbed by her attitude in her voice and had a few suggestions. To make a very long conversation short, I kept asking about the appeal process and in the end she said"bariatric surgery is not covered under you plan but if it is medically necessary it will fall under regular surgery". I said to her that would have been nice for you to tell me 15 minutes ago. I was so frustrated. Waiting to hear. Anyone else have this problem with insurance!

[Mistie 201]

Sorry you had that frustration. I have BCBS state. On the upside, they DO have it so that if it is medically necessary, you have the option of having the surgery! That's awesome! Most plans do not have that!

[GigiRH 30]

I have Horizon BCBS as well and my surgery was completely covered. Have the insurance person at the office call.

[New day ahead 40]

They told me today it is covered except for my $100 deductible. I have me first appointment with the surgeon on 8/27!