BCBS of TX PPO Blue Edge cover Hernia surgery/lap band?

[haley1297 2]

HELLO!!! I AM NEW TO THIS SITE! I had recently scheduled my first free consult with the TR office of Houston. I gave them my BCBS PPO of TX Edge Blue that I have through my employer. I received a call saying my insurance does not cover WLS. I told them I will keep my consult in hopes of being able to do the hernia program. My question is... has anyone with this insurance had an issue with having the hernia part of surgery covered? Also my deductible is $5000, how much would that cause me to pay??? ANY HELP OR ADVICE GREATLY APPRECIATED I AM DYING TO HAVE THIS PROCEDURE!!!!

Edited February 10, 2016 by haley1297

[forevertracy 7]

I have BCBS of Illinois and it was covered. I also had a hernia repair. My out of pocket is 5,000 as well but you don't pay anything until after you meet your deductible. The day of surgery I was told I had to pay 2,062 and I pay monthly

[haley1297 2]

I have BCBS of Illinois and it was covered. I also had a hernia repair. My out of pocket is 5,000 as well but you don't pay anything until after you meet your deductible. The day of surgery I was told I had to pay 2,062 and I pay monthly

Forevertracy, Yes I am hoping I am not going to have to spend the $5,000 plus cost of lap band placement during surgery. How much did you pay for the test to see if you had a hernia??? Thank you for your response!!!!

[forevertracy 7]

It was billed to my insurance

[haley1297 2]

Thank you forevertracy! Was just curious what I should expect!