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Fed BCBS Co-pay for Fills



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Hi,

I have a question regarding federal BSBS insurance. I just recently learned that my co-pay for fills are now $100.00 and was told that this became effective 1 April 2010. It was $30.00 before and now $100.00. They told me that they had to bill it the same as surgery. If you have fed BCBS, please tell me what your co-pay is? I want to know is this across the board or is this something that my doctor office is only doing and if it is, I will be finding me a new doctor.

Thanks all!

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I also have fed BCBS. But I get 6 months worth of fills for free with my doctor. Next month will be six months so I will find out and let you know. That is horrible if it is correct! This insurance is usually really good so that's hard to believe.

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Call your insurance. This should NOT be billed the same as surgery. From your post, I am lead to believe that the doctor's office billed this incorrectly. Call and confirm with your insurance company.

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Call your insurance. This should NOT be billed the same as surgery. From your post, I am lead to believe that the doctor's office billed this incorrectly. Call and confirm with your insurance company.

freebird..i called the insurance company and they told me that the dr can decide to bill it as that if they choose to..it is up to the dr office to decide which surgery code to use..so my co-pay is 100. i have been looking for another surgeon in dallas to do my fill...i refuse to pay 100 for fills...that is ridiculous

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I also have fed BCBS. But I get 6 months worth of fills for free with my doctor. Next month will be six months so I will find out and let you know. That is horrible if it is correct! This insurance is usually really good so that's hard to believe.

oh it is true..i wish it wasnt...i was due a fill, but i told them that was to rich for my blood...i had to pay 150 out of pocket for my barium swallow...i was hotter than a firecracker...but the lady said that people have to pay up front and then they will bill the insurance company and will refund the difference once the insurance had paid...i live in dallas -so i am searching for a new dr...

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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