Are there any other titles that bariatric surgeons are listed under?
I want to see if i can get a name from my insurance but they have NOTHING listed under bariatric when i call
Also Luna did the waiver mean DH didnt have to pay out of network fees?
Well he has not had the surgery yet. He is scheduled for surgery on February 25.
What was explained to me from the insurance company (and followed up with a letter) is that because they do not have a PPO in the area and because this surgeon only practices at a certain hospital they will cover both the doctor and the hospital at the PPO level. Again at 90% vs 60% and yes that also includes the out of network fees.
They also said that because we did get a letter from them stating that it was medically necessary, we only have to cover the first $1000.00 out of pocket (due to family deductible) and that they will cover the rest 100%.
I have BC/BS of Ill. with a PPO. They have been extremely helpful, even suggesting the medical waiver. I was told if you find a nice representative make sure to get there name and always ask for them, or to have them call you back.
I hope some of this is helpful to you. Good Luck!
Posts by members, moderators and admins are not considered medical advice and no guarantee is made against accuracy.