I was self pay at a surgical center and had to go to a hospital 10 hours later for another surgery because of internal bleeding(nicked artery), needed several transfusions and spent 3 days in the hospital plus had to have more blood and iron transfusions after leaving that hospital. I’m now stuck with over $175,000 in hospitals bills and more still coming. BCBS is denying the claim because they don’t cover bariatric surgery or complications. The hospital billed it as complications of lap band instead of complications of gastric sleeve. I’m told it doesn’t matter because they won’t pay either but what if I want to appeal it, shouldn’t it be billed correctly?

I'm so angry for you! I'm finally greatful that I was able to.rely on the NHS, but this whole situation is ridiculous! I truly hope.you can get some help to sort this out!

There should also be a state insurance commisioner or dept that may be able to help. Just type in “state of _____ insurance…” and you should find a few places to try. It’s gonna take some time for sure but take good notes of who you call and talk to and when and if you leave messages or if they say they will call you back put a note in your calendar for the day after you should hear back so your can follow up if they don’t call. Tell them this is the second time you called and you talked to so and so on such and such date and they were supposed to do X. Write out your exact story in a concise but detailed manner and ask everyone where you file a written complaint and send it to them. It’s pretty tedious and it’s certainly not fair you should have to do it but it may work.

Edited December 14, 20241 yr by ShoppGirl