Insurance Rage!!!!

Jan 26, 2010

Wow.  Ok, so much changed in such a short time!

My insurance is Blue Cross/Blue Shield of Georgia, as provided through my husband's work at Knology INC, a telecommunications company.  We have a standard PPO, and have been covered since last year (barring the little snafu I had where  MY coverage was cut for a time).  According to our documentation of the policy, given to us when our insurance started, WLS is covered.  Only one, they won't cover a revision, but it's covered.  It's listed in there.  Bariatric Surgery - Covered.  

Today, when the surgeon's office called my insurance company, to get process information, they were informed that bariatric surgery is NOT covered under my policy.  WHAT?!  I had a bit of a panic attack (not healthy for someone just getting over pneumonia, let me assure you), talked to my mother, my husband, my best friend, and my brother... and finally calmed down.

My husband marched down to the HR department at his work to find out what's going on...  Here's where it gets "fun".  Apparently, there WILL be policy changes, but they haven't taken effect yet.  Knology's lawyers and Blue Cross's lawyers are in the process of fighting it out over what will and won't be covered.  In the meantime, Blue Cross has been slamming the door in our faces without any kind of documentation to back up their claim.   

I no longer have the 2009 disc that includes our policy information, and Blue Cross is of course unwilling to furnish Knology OR my family with another copy until the new one comes out.  They won't talk to me, they simply direct me back to the company, who then directs me back to Blue Cross.  Knology in this, I hold no animosity for.  They're doing all they can, but simply don't have any more information than we do.  

I have a paper trail a mile long that says I need this surgery, and a surgeon who IS listed with my insurance company's providers.  So I know it's not what they say, that they're cutting it all over.  Someone is lying to us, and I would really like to know who so I know where to aim the nuclear launch.  

0 Comments