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Dr Dellon for TTS and insurance coverage out of state?

Posted by William Wilt on 3/25/04 at 06:46 (147726)

Hello,

If i live in NY and dr delon is a surgeon in Baltimore, MD how do i get my insurance to cover it out of state?

Re: Dr Dellon for TTS and insurance coverage out of state?

Mike on 3/25/04 at 08:13 (147732)

It all depends on the company and type of policy you have. Dellon is a Blue Cross Blue Shield HMO provider. I was told that they work with out of State BCBS patients all the time and have never had a problem but I found out the hard way that BCBS HMO of NE will not cover it.

Most likely you will need to get a referral from your primary Dr. and have the proceedure pre-approved by your insurance co.

Re: Dr Dellon for TTS and insurance coverage out of state?

Terry D. on 3/25/04 at 12:53 (147764)

William,
I have Blue Cross of Mi and they covered everything. I think the total bill( 2.5 hr. surgery, hospital, anesthesia, office call, and tts testing) was around $5,000 and again bcbs of Michigan paid all but maybe $50. The hospital was Union Memorial..
Terry
ps he's the guy to see

Re: Dr Dellon for TTS and insurance coverage out of state?

Mike on 3/25/04 at 13:09 (147769)

Terry,
Was Dellon an In-Network Provider for Blue Cross of MI?
If not did you have to go through a pre-aproval process?

Im currently wading thru the B.C. appeal process and was wondering what all you had to go through and/or how you were approved.

Sorry - dont mean to hi-jack this thread but its all relevant.

Re: Dr Dellon for TTS and insurance coverage out of state?

Terry D. on 3/26/04 at 17:07 (147879)

Mike,
I don't know the answer to that question. My blue cross policy doesn't have a network. But I do know he participated with my bcbs of mi.
Terry