This is a mess

[BriLynGan 2]

Surgery: April 26

Primary insurance approved within a week so I think I'm in the clear. Nope. I get a phone call Monday morning that she has to submit to my secondary insurance. She said it might cancel my surgery.

Now, please someone ease my mind, I have the same company (Capital BCBS) for my primary and secondary. I have a letter from my primary saying my surgery is medically necessary. That, to me, says I will be approved by the secondary as well, right?

I have less than 2 weeks until surgery and I am stressing. This is far too late in the game to be worrying about this.

Should I be worried?

What should I do?

[2goldengirl 2,076]

This is silly. It's up to your primary, and if they approve, the secondary pays a minimal amount anyhow.

Talk with the office manager.

[BriLynGan 2]

This is silly. It's up to your primary, and if they approve, the secondary pays a minimal amount anyhow.

Talk with the office manager.

I will call them in the morning. I've been a ball of nerves since I got that phone call. I have it IN WRITING that I am approved for surgery. I dont see how they can come back and say it could be jeopardized.

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[daniotra 298]

The worst that would happen is you would have to pay the co-pays, deductible and co-insurance that your primary doesn't cover. We go through this all the time with my son's medical supplies.

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[BriLynGan 2]

The worst that would happen is you would have to pay the co-pays, deductible and co-insurance that your primary doesn't cover. We go through this all the time with my son's medical supplies.

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I'm sorry you have to go through it often. Something didnt seem right to me and I even told my patient rep I'd happily accept a bill for the co-insurance rather than have to rearrange the time off work, etc.

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[daniotra 298]

It's one of the joys of special needs parenting. You would think double coverage would make things easier, but it's really a pain in the butt. I m grateful for it though because his formula and feeding supplies are over $2000 a month, and his Prevacid is $400-500 a month.

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[tsims2k11 2]

Same thing happened to me, except I have two insurance providers. Aetna is my primary and UHC is my secondary.

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