Re: Hassles with Blue Cross Blue Shield

[Guest guest]

Hmmm -

I'm 43 and had surgery 6 weeks ago and it was all paid (with no hassles

whatsoever) through Blue Cross California. I had my Oral Surgeon do

the communicating with them to get the approval - I didn't deal with

them at all.

Good luck.

Greta

---

> I have had nothing but hassles with Blue Cross Blue Shield.  I am

> supposed to have upper and lower surgery.  They tell me this surgery

> is limited to dependent children only.  I am in my 30's and can't

> believe that this is happening.  I am 4 years into braces and had my

> surgery scheduled for 6 months ago, and am fighting with the

> insurance to get this approved and it looks like I am going to have

> to get legal help.  I don't believe that they should deny me because

> of my age.  Please advise on how you get this to work out with

> insurance!!  HELP!!

>

>

[Guest guest]

Methinks Blue Cross can vary tremendously from state to state, and

from policy to policy... My Blue Cross paid everything but the

braces, and paid $1,000 to $1,200 of that.

I get mine through my work. Most individual policies, I think, do not

give coverage that is as good -- or maybe you just have to pay an arm

and a leg to get them.

My surgeon also wrote all the letters, submitted molds, models,

pictures, x-rays, etc. Bless him!

I do know that here, anyhow, when you appeal a denial, you can

request specifically a panel of oral and maxillofacial surgeons to do

the review. That helped me once on a totally different matter that

was medical but occurred in the mouth. It's worth a shot.

Best,

Cammie

>

> > I have had nothing but hassles with Blue Cross Blue Shield.  I am

> > supposed to have upper and lower surgery.  They tell me this

surgery

> > is limited to dependent children only.  I am in my 30's and can't

> > believe that this is happening.  I am 4 years into braces and

had my

> > surgery scheduled for 6 months ago, and am fighting with the

> > insurance to get this approved and it looks like I am going to

have

> > to get legal help.  I don't believe that they should deny me

because

> > of my age.  Please advise on how you get this to work out with

> > insurance!!  HELP!!

> >

> >