Bcbs mi - not covered!

[edub 5]

As of Jan 1st 2009, if you have BCBS MI individule plan you are NOT covered for bariatric surgery.

Evidently this was covered before then but they have decided to unilateraly change the terms of their coverage without notifying members.

FYI, medical equipment isn't covered by this plan either so now I have to buy a CPAP machine out of pocket for my sleep apnea.

I knew I shouldn't have let them talk me out of purchasing a group plan for my business. That will change monday. I plan on increasing coverage and ringing the bill up as high as I can whether I need it or not

[tammy green 0]

hi

i work for a company and they have bcbs of mi, does that go for people who have plan through a company, i have already gone thru all the stuff they require and just waiting their approval.

thanks tammy

[edub 5]

My understanding is that only the individual plans do not cover it. I would defenitly check though.

[WendyII 0]

Did you try to appeal this? I suspect there are different levels of coverage. I have Empire Blue right now but may be switching to BC/BS of MI and would be pretty dissapointed if they didn't cover fills etc.

[edub 5]

We will see

[circa 0]

I have BCBS MI and I called today - I'm covered. I have a PPO Flexible Blue plan - I believe its only the individual coverage that was changed. I know there was something in the legislature regarding individual coverage premiums and what the policies would cover changing

[edub 5]

It is only the individule policies. Since my insurance is through my business, I wanted group coverage but the agent sold me on the individule plan. I have since learned that she did so to make a quick sale as the group coverage is far superior for about the same price.

Anyway, I am interested in any legislation regarding the issue. Health insurance is defenitly something that requires government regulation.

[tammy green 0]

Does anyone know if they cover fills

tammy

[circa 0]

Does anyone know if they cover fills

tammy

I'm finding that this is based on the policy you have. You'd have to contact your surgeon to find out what code they use for fills and then call bcbsm to find out with that code.