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Blue Cross not paying for fills

I wanted to get some feedback from other Anthem Blue Cross LAP-BAND® patients. They have just informed me that they will not pay for adjustments/fills. They believe it is part of the surgery. I am appealing their decision. I have a case manager who told me the first three fills were covered by BC.

I would love to hear about others experience with BC.:smile2:

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I have Anthem Blue Cross for LA County Area, they will also not pay for my fills (which I agree is stupid)

Anyone know if BCBS of Mass covers fills?

I agree with you! It's counterintuitive to cover the surgery but not the fills, isn't it? I'm in CA too and I just assumed they would cover it, but now I'll have to find out.

Does anyone know what fills cost on average?

My doctor charges $250 for a fill, thank goodness my BCBS covers it.

I have Anthem BC of California. I live in L.A. Originally I was giving the doc's office my co pay but when he moved his office to Beverly Hills he no longer requires the co pay. He says that the fills are part of the surgery. I don't get it, but I ain't knocking it! Good luck!

I wanted to get some feedback from other Anthem Blue Cross LAP-BAND®® patients. They have just informed me that they will not pay for adjustments/fills. They believe it is part of the surgery. I am appealing their decision. I have a case manager who told me the first three fills were covered by BC.

I would love to hear about others experience with BC.:mad:

I have Anthem Blue Cross too. Just had my first fill last week so we shall see. But I'm also having problems with Anthem covering the office visits before surgery. Were yours covered? They also kicked out a bill for the bloodwork. It's frustrating! Please keep us posted on your progress with Blue Cross. Good luck!

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When I spoke with the insurance person in my dr. office, she said that she should have included the first 3 fills that occurred in the first 90 days in the surgery cost. So, I am elated that those will be covered and I don't have to pay BC back. As far as future fills, they will be $350 but will go toward my deductible. I still feel BC should cover for the the first year.

Anyone know about bcbs of Illinois? My surgery is covered and set for feb 9th , but now Im a bit nervous about the fills? Any info would be great.

  • Author
I have Anthem Blue Cross too. Just had my first fill last week so we shall see. But I'm also having problems with Anthem covering the office visits before surgery. Were yours covered? They also kicked out a bill for the bloodwork. It's frustrating! Please keep us posted on your progress with Blue Cross. Good luck!

I had just one dr. appointment before my Aug. 09 surgery. And one psych appt. they were covered. I am still waiting for BC to pay for the pre-op appt and bloodwork.

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