Question:
Has anyone dealt with Blue Cross Blue Shield of Texas?

I am trying to find if anyone has dealt with BCBS of Texas. I have looked the book upside down and called customer service. One gal told me nothing was mentioned in the coverage book another gal told me it wasn't covered at all even if medically necesarry. I have an apt. next week to see the surgeon and would hate to have to go through all this and then be flatly denied with not evena chance of appeal.    — gracie B. (posted on June 7, 2001)

June 7, 2001
Gracie, I too have Blue Cross Blue Shield of Texas, and I went to my Primary Physician who sent my referral in to the Utilization Management Dept. Panel; within the insurance and was approved for (at this point) 3 OP visits (I go to see the surgeon on June 26, 2001). I too was told that this insurance does not cover this procedure but my nurse and my Primary Physician took it all the way up... good luck and I hope this helps a little.
   — rinkadinktx

June 7, 2001
Irma, thanks for responding. I didn't go through my primary physician. My policy states that as long as I go to an approved provider I didn't need a referal. Would it be in my best interest to get a referal?
   — gracie B.

June 7, 2001
Hi again, Lets see all though we can go to any approved provider if our Insurace states that they do not cover a certian procedure or surgery; it is my understanding that we have to get a referral from our Primary Physician deeming it medically necessary and it goes on from there....call 1800 insurance number and drill them... maybe they have better words of wisdom.... ours should be the same, correct? let me know.... good luck...
   — rinkadinktx

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