October 17, 2007

My Ongoing Saga with BCBS

So here is a real (and positive) update.

So today I was on the phone with a very kind BCBS employee to schedule an in-person appeal meeting where I would present my case to a group of doctors (not affiliated with BCBS). Thankfully on the phone she mentioned that the only pre-existing condition left was an allergy and I was like, “no, how about all the skin stuff?” (this list is too long to list) and she was like all of those were overturned in August and so are not considered pre-existing conditions.” I was shocked and thrilled. She then faxed the letter that never got to me because it was sent to an old address in NJ (that I had changed this summer) .. So now we are moving somewhere good…

More soon but I wanted to pass on the good news!


It is clear to me that a “clearinghouse site” for complaints against Blue Cross Blue Shield would yield a lot of traffic. My post complaining about my problems with BCBJ Horizon of NJ has received constant comments with people posting their horror stories.

I have not moved to create such a site yet, because I am hoping that the outcome of my appeal will be positive and that I can report that going through the appeal process as they set up can lead to fair and just outcome.

But the frustrating thing is 3 emails and 2 phone calls placed this and last week to inquire simply about the status of my appeal has been met with a wall of silence. Frustrating…. I am going to try to contact them again this week and if not… I will have to file another complaint with the dept of Banking and Insurance over their inability to respond to me about the appeal process.

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