Question:
Has anyone been approved for surgery with a self-funded Beech Street Plan?
— cynthia M. (posted on February 10, 2003)
February 10, 2003
My husbands company is a self pay beech street. Ther is a specific
exclusion for obesity including morbid obesity. They were not willing to
even consider wls. I have changed ins. to my company carrier (pacific Life)
they will cover. Do not give up! Best of luck.
Dawna
— Dawna B.
February 11, 2003
Hi there...I'm not sure if this is the same thing. I'm only twenty and
decided to take off from school to have my surgery..My dad's insurance is
beechstreet and i had to get a cobra policy while i wasn't in school...they
did pay their part but it took a little convincing...if you'd like feel
free to email me if the situation is similar.
[email protected]
— Becca P.
February 11, 2003
I have a self insured Beechstreet plan and they paid for everything except
my out of pocket for the year and what I was overcharged for by the
anesthesiologist(?sp)Our company's policy says that if it is medically
necessary it could be reveiwed by our plan's board and if denied I could
appeal to our administrator who happens to be the VP of our company. Lucky
for me, my doctor wrote such an awesome letter of medical necessity that
the board approved it the first time around. It all depends on what your
company has outlined in their plan as to what they will cover. Ask someone
in your human resources who they deal with at your insurance company if
they want to find out if a certain procedure is covered by your plan. You
don't need to be any more specific than that if you don't want them to
know. Then call and speak to someone and ask them if it is covered under
your plan if deemed medically necessary. If they say yes, ask what they
will require,in detail, in order to start an approval process. If they say
your company as included an exclusion clause then you are pretty much sunk.
Please feel free to email me if you have any other questions.
— Traci B.
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