yes I was covered 100 percent also dr clavel was in network so was hospital oh I also have a ppo plan

Hey Jason,
Congrats on reimbursement and hopefully a succesful surgery.

I have my documents in right now and awaiting there determination. Filed exaclty as you and was toldthey were doing an audit on the claim last week for my double cervical in June. News to come hopefully.

Just got back last night from a double lumbar done one on December 18 so this should get real interesting.

Can you tell me where you found that Clavel was in Network?

I would appreciate it. Thanks Frank

yea im 3 months post op 2 level lumbar, I believe Yolanda told me over the phone when I called up I asked if they accepted my insurance and also if the hospital did she said yes

Frankly,
I found them listed on the WORLDWIDE BLUE website.
Good luck!:clap:

Well All,

Not sure if you had seen my post but I too got reimbursed 100% for my Cervical 2 level.

Just about to put in for the Lumbar claim.
I think it has alot to do with or all to do with Quiron Hospital is a preferred provider for BCBS WW and considered in network. I think what is happening is that the ice has been cracked and there is recognition that Clavel is accepted as in network. I have also seen more people going to Germany getting paid as well.
It is sad however that as US citizens we cannot without alot of stink have choices. Remember we still all paid a bunch of duckets to fly and hotel as well.
Lumbar was no joke so visiting really wasn't any picknick walking around in Spain. The other unfortunate thing is the really calous nature of many (not all) of our Doctors here. Hold on this ride is gonna be rough cause its gonna get worse.

Ill keep up to date on the lumbar claim. Go's in tomorrow.:wiggle:

F

Frank,


BlueCard WW actually called Quiron to get blood tests and medical reports directly. I was not aware they would do that. I think they were trying to expedite the claim. My info could not be released since I did not sign any release forms. I told Yolanda to tell them if they called back that I would be submitting the info personally. I could have had it done directly, but I wanted to insure getting copies of all paperwork exchanged for my records. How long did you wait for the email with the itemized billing?

B,

First, I hope you are doing well!!!
Took about 3-4 weeks from memory. It takes time for them to get it all put together unfortunately and then it needs to be put in english. Make sure you also get a Letter of medical necessity.
It sounds like your gonna be OK with being reimbursed. The only costs they took out were Hotel and the added insurance if you bought it. I was only 200$ copay. Dot your I's and cross T's. My only concern for you is that I think you said you have a PPO. It might cut it but then again others it did not.

Frank

My plan is a PPO for care within the United States. Not sure how they handle claims outside the U S. I'm gonna push for in-network benefits citing Quiron being listed as a preferred provider. My insurance covers at 90% for in-network....out of network covers at 70%. Even if I got reimbursed at an out of network rate, it's better than nothing at all. I'm hoping me contacting them ahead of surgery helps. I believe poster Jasonhhh also had PPO with BCBS.. he got 100%. It depends how your policy reads. All I know is I verified coverage with home base and BCWW. We'll see. What type of BCBS policy u have?

I contacted BlueCard Worldwide. They said I was covered, as did my home policy...I verified that nonemergency care was covered and I w as planning spinal surgery.. Some people depending on policy are only covered for emergency care or doctor visits when traveling, not scheduled surgeries. It's important for BCBS members verify what is covered before planning expensive surgeries. I have not had any reps say I had no coverage. They did say I may only get a 70% rate. Fingers will be crossed when I mail the paperwork.

Hi all!
I love hearing that some are getting 100% reimbursed! Should I request my 40%? LoL just kidding, I was thrilled to get the 69% paid for.

News about me---still feeling awesome! Just got back from hiking and some very junior rock climbing in AZ. My disc held up well and I had no pain! I count my blessings everyday for the M6 and Dr. Clavel. I'm doing Pilates 2 times a week, walking almost daily with some jogging mixed in. I feel better than I have felt in years and since my injury was accident related I take NOTHING for granted. I hope everyone else is doing well too!