Help on bill after BCBSIL

[MeMeMEEE 206]

I just found out today that BCBSIL stopped covering an assistant surgeon on VSG 6/1/11. I have been told that my Dr's assistant bills and co-surgeon which is some how different. Just wondering if anyone has gotten a bill and knows how BCBSIL is now paying? A little freaked, I won't do this if $20,000 will come from my pocket!!

[+change 5]

Did you find out anything regarding coverage for the assistant surgeon? I have BCBSIL also & am concerned b/c of your post. I'm hoping to be approved in October for the sleeve.

Jan

[Wheetsin 714]

Is it a matter of how the bill needs to be submitted (I ran into this when I had my lap-band because a nurse anesthetist was used and not billed separately, but needed to be -- took me about 6 months to resolve), or that the person's involvement is not covered? Can you paste the exact verbiage in your plan? I'm not completely understanding the problem as you've stated it in your post, but the contract language should help clarify.

(I used to work for an insurance company and may be of some help, or if nothing else know some "insiders" I can ask.)