Dr. Keshishian and out of state insurance

Discussion in 'Duodenal Switch' started by DawnNYC, Jun 12, 2018.

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    DawnNYC

    DawnNYC Active Member

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    On a whim, I decided to reach out to Dr. Keshishian's office about my insurance. They said my bcbs from NY would also be in network with the CA bcbs.

    Has anyone had their bcbs from another state be in network?

    If this is true, I will be able to have my conversion surgery with him! And, they are no longer charging a program fee.

    Soooo glad I called!!!

    Thanks!
     
    Angelina Frazier likes this.
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    southernlady

    southernlady Administrator Staff Member

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    When we had ours, I was with BCBSTN Medicare. THEY balked at my choice of surgeon They wanted me to stay in state. My husband had NO issue with his chosen surgeon.
     
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    hilary1617

    hilary1617 First time at the rodeo.

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    BCBS IL pays for my son's medical expenses with his doctors in California (endocrinologist) and Texas (neurosurgeon), and mine in Louisana (endocrinologist, oncologist, surgeon), all through exchanges with BCBS's in the states in which care is received. My plan is a PPO in-network only option self-funded by my employer.
     
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    DawnNYC

    DawnNYC Active Member

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    THANK YOU!!!
    That’s very encouraging : )
     
    hilary1617 likes this.
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    Whit

    Whit Well-Known Member

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    Good luck he is the best. He revised my RNY to DS 5 years ago. I sure had to pay that fee. He was worth every penny.
     
    JackieOnLine likes this.
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    RainCity

    RainCity Well-Known Member

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    Dr Keshishian’s office seems VERY adept at determining & navigating insurance coverage.

    I had an in-person consult with Dr K in May 2018 regarding revisional bariatric surgery. He also performed an EGD endoscopy so he could see exactly what my issues are instead of just going off a report from an EGD I had done in Seattle in April 2018. My insurance is Premera Blue Cross WA, which is an independent licensee of BCBS. 2 of the 3 surgical procedures he has recommended are approved and now we’re just waiting for pre-authorization of the hospital stay and LINX device removal. Hopefully that will happen this week and I can schedule my surgery for June/July 2018.
     
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    DawnNYC

    DawnNYC Active Member

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    That’s so exciting! Congrats on getting approved. Let me know how it all goes.
     
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    Spiky Bugger

    Spiky Bugger Well-Known Member

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    Almost 13 years ago, I wandered into his office with a THICK, well-organized (it had an index) pile of test results and, where appropriate, CDs. He looked at all of them and then said, "No endoscopy results?"

    I replied, "No results because I haven't had one."

    He asked,"Why not?"

    I said, "I thought you'd rather look for yourself."

    He laughed and said something like, "I don't operate off of a report of what someone else said they saw. With a CD, I can see what they saw. But if I do it myself, I know exactly what I looked at and what I found."
     
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    DSRIGGS

    DSRIGGS Yes, that is chocolate covered bacon

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    I've had 4 surgeries with Dr K and I have BCBS PPO Indiana (live in IL but wife's HQ is in Indy so IN is state. Weird I know). No issues at all.
     
    DawnNYC likes this.

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