BlueCross/BlueShield Secondary
Same here. We have BlueCross/BlueShield Of Idaho with Regence secondary. We go back and forth a lot between houses in CA and ID so needed a plan that allows us to see doctors and specialists at either location. It’s worked out very well.
Regence uses Americans for their call centers. It is SO wonderful to get an American on the line quickly. They’ve all been very kind, friendly, and patient. If they need to research something, they always get back to us quickly.
I had some genetic testing ordered by one of my specialists denied by them. The specialist was not aware of the long history by another specialist who in another clinic who retired. I wrote an appeal and was asked to speak to their review board. I spoke for two or three minutes; there were no questions. I hung up and got a call fifteen minutes later saying the board had reversed its denial and accepted my claim!
After that problem, I now make sure the procedure is approved by insurance in advance. The doctors and clinics have been very good about getting pre approval. If I don’t have it on the morning of the test or procedure, they will follow up and give me the ability to postpone.
Absolutely!
it’s the DR’s responsibility to pre-auth procedures, but you’re smart to check on your own.