rensan65

Hello All, Does anyone have BC/BS in Southern California that has gone through the Insurance song and dance and has been successful getting approved. I had tried last year when my company went from Preudential to BC/BS and I chose an EPO plan. When I tried applying for the surgery through several doctors I was denied becasue they said that the EPO I was under didn't cover it. So I had to wait a year when I can change my plan to a PPO to re-apply. But I'm worried that I will still have the same problem so I wanted to know if anyone out there has had any sucess and can give me some suggestions. Wish me luck. I need it to save my own ife. Thanks

I will. I will check in with you from time to time to give you my progress and to see how you are doing. OK

I got it. Thanks for the contact. As soon as get my new plan I will cotnact them as well. Regards,

I hope my new PPO covers it. I'm in L.A. Near Pasadena

Hi, Thanks for sharing. Did you have the EPO or PPO plan? I haven't decided where to go yet. You have any recomendations? How long ago did you get banded?

Hi everyone, This is my first posting and I am very optimistic with all the new developments I have been reading regarding Insurance and Lap Band. My company is switching from UHC to Anthem BCBS come Jan. 1st. UHC has flat out denied me and I wasn't aware of the power of appeal until I starting reading everyone’s postings. So far, from the inquires I have made, my new BCBS carrier maybe allowing for the procedure and I am so happy that I am almost in tears! My BMI is 46 and I am only 34yrs old with two little ones that I want to be around for. And last year I was diagnose with Severe sleep Apnea and in recent years I am suffering from all the joint and back pains. I hope BCBS changes my life. :cry My question is, what should I have ready prior to Jan 1st when I apply for the surgery so that I have the best possible chance in getting accepted as soon as possible? And I know it’s premature, but does anyone have a sample of a successful appeal letter that worked for them? Any help from anyone one be forever appreciated :help: RENSAN

Hey Kaninag, I made my appointment for Friday. Figure better start now. Good luck and let me know how you did. Rensan

Hello Sue, Thank you very much for your feedback. I will check with HR. In fact I already e-mailed them. I forgot to mention that I am in Southern California. I hope I have the sasme luck you did! Congradulations by the way! Rensan