Rebanded Insurance Coverage

[iseethinme 0]

My Band Slipped in April. I had to get Rebanded. I was so sick that I went to the ER and was told I needed Emergency Surgery to fix the Band or Remove it completely. The doctor fixed it. So I still have a Band. One month later I just got my Insurance Explanation of Benefits where they only paid the surgeon a portion of the surgery and they are saying I owe the doctor 18,000. Could this be possible. On the Insurance paperwork they say my Surgery was not Medically Necessary. Hello I couldn't eat or drink for more than 4 days. I was completely dehydrated & I thought the surgery was most definitely medically Necessary. No one told me when I had surgery that I would need to pay more than my Copays. I have Blue Cross/Blue Shield Ny. Anyone have this happen to them. Is it possible that the paperwork was processed wrong. I guess I need to call the doctors office on Monday!

[heavenly84 0]

Get your orginal letter of medical ness. Send it in w/ your paper work from the ER w/ confrimation of dehirdation and medical stress. I would suggest to send in anything else that got you approved in the beginning. also call your insurance and see what your benefits for urgent emergency coverage. If the do no change the cost you owe.. there are lab band lawyers to assist you.