Question:
Anyone have BlueCross Californiacare pay for plastic surgery?

My insurance is changing to BlueCross Californiacare from Pacificare. I was laid off in Nov. and have been paying Cobra $300 a month for Pacificare. My PCP said they would more than likely pay for my reconstuction. I now have a new job that only offers BlueCross. I was wondering if anyone has had BC approve their plastic surgery. I really don't want to keep paying for Cobra if I don't have to. But I can't take time off from the new job for a long time. So I am wondering what is the way to go...Thanks is Advance! Take Care, Toni 01/10/02, 441/218/1??    — toni D. (posted on June 20, 2003)


June 20, 2003
Almost any insurance company will pay for reconstructive surgery (don't say plastic surgery) if you proved it is MEDICALLY NECESSARY. I just got approved about a month or so for abdominoplasty surgery after an appeal. Yes, I was denied at first, but I'd appealed their decision and won! I am scheduled for sugery on July 8, 2003. And by the way, I have BC/BS Health Options HMO. Word of advice, document everything! Good Luck
   — Jeanette D.




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