Does Blue Cross Blue Shield of Georgia cover tubal ligation reversal?

Answer 1

it depends on your policy. for mine, once i met my $500 deductible (which is billed to you by whomever is doing the surgery) if it was an in-network provider it was covered 100%; out of network provider was covered at 80%. in-patient stay was a $150 charge on top of that and out-of-patient stay was subject to a $300 deductible. all in all i was pleasantly surprised, i didn't think it was going to cover ANYTHING---i can't afford the $5900 out of pocket cash cost for a reversal for but i can afford the $650 in-provider cost. I'm ecstatic. and the customer lady was REALLY nice, too.

Answer 2

From my research on https://provider.bcbsga.com/provider/medpolicy/ it seems as though reversal of the procedure is covered, however the actual procedure is not. However I highly suggest you contact BlueShield of Georgia to get more specific information for your coverage plan and to confirm this information. Hi I have BCBS coverage elsewhere, and my card has an 800 number on the back to customer service, and I've always found them reasonably useful. However, rather than trust the word of some 8-dollar an hour CS person, I would advise you to have your doctor's office prepare and submit the forms, and wait until your are denied by someone whose signature carries some authority before you give up. You may be pleasantly surprised. We have been. Phil

Answer 3

The previous answer is incorrect. My coverage from Blue Cross and Blue Shield covers tubal ligation reversal. It depends upon your plan.

Answer 4

It is in Alabama, not sure about Illinois.

Answer 5

BCBS is not one company. There are several companies across the country that hold the BC and/or the BS logo. Call your BCBS insurance company to find out your answer.

Answer 6

Usually not, unless there is a medical need for the surgery, Blue-Cross is not going to pay for it.

Answer 7

maybe