Lynette Solorio underwent lifesaving bariatric surgery in 2017, but her new insurance provider refused coverage of Ozempic, the drug that she needs as follow-up treatment after surgery.
Ozempic is an FDA-approved medication used to manage Type 2 diabetes. Available as an injection prescription-only solution.
What is Regence?
Regence Health Insurance Services of Northwestern States offers Medicare Advantage and Part D plans in four northern western states to families, individuals, and small businesses across four northwestern states. Members include families, individuals, and small businesses. Regence also offers dental and pharmacy benefits through both Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO) Medicare Advantage plans; it offers Medigap plans which cover 50-100% of Medicare Parts A and B out-of-pocket expenses for its Medicare members.
The company website includes helpful tools and resources for its customers. For instance, its Live Chat feature is easy to use during business hours, while its Find a Doctor tool makes finding healthcare providers in your network much simpler. Furthermore, their Member Dashboard gives members access to check claims statuses and deductibles – crucial information in making informed health care decisions. In addition, as a non-profit, they use all resources at their disposal to enhance members’ quality of life.
Does Regence Cover Sleeve Gastrectomy?
Luci Solorio has filed a claim against Regence BlueShield for failing to cover her obesity surgery as part of Washington state law. By refusing coverage for this surgery she claims Regence BlueShield failed to abide by these requirements and her life could have been at stake.
Regence offers several Medicare Advantage, Part D, and Medigap plans across four western states. Each plan features its own set of costs including deductibles, copays, and monthly premiums – some plans also feature dental and vision benefits! In addition to offering these plans, Regence also offers medication reconciliation services so patients’ medications remain up-to-date and accurate.
Regence provides members with access to an expansive network of physicians as well as additional benefits, including online account management, mobile apps, and cost estimator. Through its website members can search for doctors and hospitals as well as view out-of-pocket costs associated with procedures such as hospital stays, MRIs, surgeries, and X-rays as well as discounts on products and services from around the country.
Does Regence Cover Gastric Bypass?
Regence offers its members a number of tools that help them compare costs for hospital stays, MRIs, surgeries, and other medical procedures. Their Find a Doctor tool enables members to locate providers in their area by signing in or searching without an account.
Regente also works closely with MultiCare and OHSU to assist its members with better care by streamlining the prior authorization process, which allows doctors to review treatments quickly, cutting costs and delays in care delivery.
Regence BlueCross BlueShield provides individuals in Washington, Idaho, Oregon, and Utah with various health plans tailored specifically for them. Though they don’t provide short-term or Medicaid health coverage plans, Regence offers Medicare Advantage plans with prescription drug coverage as well as dental and vision coverage backed by decades of experience and customer service tools such as mobile apps and an online portal for customer support.