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Insurance Company and Fills

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I have Blue Shield of California. All my fills are covered, but I pay a $15.00 co-pay each time I visit the doctor for a fill.

One problem I am seeing is that the dr has to bill it as an office visit for my blue cross because if they bill it as an "op surg office visit" then it is rejected because bariatric "surgery" must have a preauthorization.

So if they bill it as an office visit at $125 it is covered. If the surgeon bills it for $125 as "op surg office visit" it is not covered.

Good luck!

  • 2 months later...
I have Blue Shield of California. All my fills are covered, but I pay a $15.00 co-pay each time I visit the doctor for a fill.

I saw an EOB with Blue Cross of CA for 450.00 service date was the day I had a fill!! Wow! I have to call the insurance company, I was told they were covered! They are trying to get me to pay towards deductable" total out of pocket" OUCH what can you share:glare:

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