Wednesday, November 08, 2006

8:00 AM Conversation with Blue Shield

Luckily, the representative that I talked to on the phone seemed knowledgeable. 
 
Even more luckily, Stanford Hospital is in network, which means for my hospital stay my co-pay is only 10%, and there's no daily maximum.  If it were out of network, it'd be 30%, with the daily allowable amount of total charges capping out at $600.
 
Not so lucky?  These numbers:
 
Procedure                          Surgeon's Quote          Blue Shield's Allowable Amount (they pay 70% of these)
Maxillary Osteotomy           $16,800                       $1,636 (not even 10%!)
Mandibular Osteotomy         $16,800                      $1,784
 
Blue Shield says I'm responsible for the difference, because my surgeon is out of network.  Whoa.
 
Why don't they just go by their initials - BS.

1 comment:

Vicky said...

wow, that's alot....did u end up paying all that?