Anthem - Payment for Post-Surgery Services

[debihaines 3]

Anthem BC/BS paid for the surgery but they are not paying for any of the post-surgery visits; not for fills, checkups, anything.

When I call they just say they are not a covered benefit - WHAT?

Anyone have the same issues? What did you do?:smile:

[frenchvanilla 0]

I have blue cross & they approved my surgery and said they will cover whatever comes along with the band , as long as my doctor says its needed.maybe you should call again, do u have a healthcare associate?

[HeatherO 7]

It seems strange to me. Talk to your doctor about it. Perhaps if you convert to self pay due to non-coverage you can work out a special rate that works for everyone.

[kdlee 0]

I have Anthem BC/BS PPO also. My coverage will not pay for any fills or aftercare, either. Luckily, my Dr. gives the first year of fills for free. After that I'm on my own. It just depends on what plan your employer bought into. Sounds like your employer bought into the same plan mine did. :smile:

[NANAbanded 0]

Insurance can be strange...(he, he) I'm an insurance agent. However, health insurance is not my expertise.

In my case the insurance would not cover the surgery but have covered the fills since. Go figure. I have BCBS in Alabama. Each States BCBS is usually different in what and how things are covered.

Keep trying...a NO doesn't always mean the end. GOOD LUCK

[barbie2007 0]

Hey be thankful they paid for the surgery, my BC/BS, in Alabama would not pay one cent. ....I paid 15,000 out of pocket...so take heart, it could be worse. Look at the money you are saving on food! LOL