I am beginning my first appeal with BC/BS of Oklahoma. Just wondering if anyone close to me had any luck with BC/BS yet. It would help those of us in the appeals process to know of others that were successful in their approval process.

I'll start it off:

Oklahoma
BlueCross/BlueShield
denied-"experimental" 3-7-2005
currently in 1st level appeals process

Thanks for any info you guys have.

Mine paid 60% of everything. Blue Cross, California.

Thanks Cindee. Congrats!

Anyone else wish to contribute?

BC/BS of NY (now Empire Health Choice) authorized a two-level ADR w/Regan in LA. In their small print they say that they can deny this too. Haven't had the surgery 'tho so can't say how things worked out.

Does anyone know if CIGNA Open Access Plus pays for Charite?

I know of a person here in Colorado that had CG Open Access Plus and they paid. Connecticut General is affiliated with CIGNA.

I have CIGNA HMO and they have denied so far.

Brady

Thanks Brady, you gave me some hope of them approving. I am starting to get depressed. I should "hopefully" know something on Friday. But these dr. offices are taking their time. Good Luck to you all.

Can anyone tell me why in different states the insurance companies are approving and not approving of the surgery? I have cigna open access plus and I read a lady in L.A. has the same thing but was denied and then someone told me someone in Colorado has it too and was approved. What's the difference?

Cavalib,
Each insurance is differant between state to state and eventhe same inusrance company in the state will differ between differant employers. it really makes things hard on us. I don't think it is fair or correct but my wife works in a hospital dowin this kind of stuff and she says this is how it is.
I just found out mine is approved but I feel guilty and bad that others are ahving to go thru this. It just doews not make sense to deny anyone this.
I wish you and everyone else the best in trying to work this out. Don't give up!!

Dave