Horizon Bcbs

[selbradey 321]

What does it mean when it says 50% covered after pre authorization? I know the surgery needs pre auth but does that mean I have to cover 50% of the cost?? Sorry guys I am so confused. I have Horizon BCBS EPO plus, with $30 copay and $50 specialist. Thanks

[laurz 0]

That is what it means, they pay 50% and so do you.

[JerseyGirl68 1,172]

Factor in what your Maximum out of pocket expenses are. My Horizon BCBS pays 80% after I met my deductible of $2500, but my Maximum out of pocket is $4000, so after adding up all co pays,and deductibles, I will only have to pay a maximum of $4000. Even if the surgery is 50,000 and I get billed for $10,000.

[selbradey 321]

As long as it can be billed and not cash in hand i can deal with that. Jersey girl, do u have epo plus?

[selbradey 321]

Got the approval letter. The ins company is more worried about me seeking plastic surgery after the fact. But the sleeve is covered so i dont care. Lol its funny the way they worded it . "We applaud your endeavor to lose weight, but plastic surgery procedures will not be covered due to loose skin etc".

[selbradey 321]

Im saving for the plastics anyway i just wanna be smoking hotttt