Fill costs and insurance, Is it covered?

LiveLifeAgain · 04-05-2008, 10:34 PM

My surgery is scheduled for April 23, 2008. I have anthem bc/bs and they have been very good covering things for me. For some reason, I haven't asked about fill costs or if insurance covers them. What has been your experience with this? Im getting panicky because I haven't ask about this until now, but I need the surgery for health reasons so if I have to pay out of pocket, so be it.

***Susan*** · 04-06-2008, 11:30 AM

The best thing you can do is contact your insurance company. Better to get a definitive answer from them.

dustout · 04-07-2008, 02:54 AM

Anthem BC/BS covered my surgery 100%.

They have TOLD me that fills ARE covered also on two occassions. They gave me this reference number: 0207589397001.

I will be using this code with my doctor to file for my fill in two days. I will let you know how it goes.

mandilou · 04-07-2008, 11:32 AM

Susan's right... every healthcare provider is different. And even within the same provider, sometimes things are changed/tweaked depending on the employer.

I have BCBS-IL, and when I asked about fills, she said as long as your surgery is covered, any post-operative care (including fills) will be covered as well. She did say that whether I'd have to pay a co-pay would depend on how they billed the procedure. Office visit? Co-pay. Outpatient? Fully covered.

Good luck!

juliegeraci · 04-07-2008, 05:19 PM

The best advice I can tell you is to verify with your insurance company. My fills cost me $3500 over the last 18 months and just recently they were covered because my surgeon's office pushed for a gap exception since there were no in network providers.