Effective July 14, 2014 BCBS IL has a change in policy for services deemed to be medically unnecessary or medically unproven (experimental and/or investigational). These services will no longer be considered patient responsibility upon denial. These services will be denied with a message specifying that the patient is not financially responsible for the charges.
What items are considered medically unproven? Interferential current stimulation, pneumatic traction and spinal uploading devices in any setting, many types of allergy testing, traction devices for use in the home, kinesiology, spray and stretch technique for myofascial pain, intermittent motorized traction, intersegmental traction, methods of mechanical massage, craniosacral therapy, hydrotherapy beds, kinesio taping, and low level laser are among the many elements that are not covered by BCBS.
In order to charge the patient for these non-covered services, the patient must sign and date an authorization form that states the member has been informed prior to the services being rendered, that the services are no covered. It must include the total cost of the services and a confirmation that the member accepts all financial responsibility.