I have BCBS (federal employee program). I have the one with PPO, not sure if it's called standard or basic. I do know it's the more expensive of the two. ???? I've started the process for my sleeve just within this month. My BMI is 41.7, I have sleep apnea but otherwise very healthy it seems. All it really is for me now is just a waiting game, and the insurance required 3 more appts, one of which has to be with the dietician. The surgery coordinator said we'll be scheduling the surgery on my 3rd visit. This is what was/is required of me for insurance...
1. PCP medical clearance signed that your safe for surgery and that the procedure is needed..........................completed and turned in
2. Psych. Evaluation which was a 40 minute session with a lady that had sleeve 6 months prior by same surgeon..............completed and turned in
3. History of weight loss attempts by me, how, etc. Basically a handwritten "weight loss resume"........completed and turned in
4. 3 month required waiting game that includes 4 official "visits" to the surgeons office, one of which has to be the dietician/nutritionist..........1 visit completed with the second one scheduled in about a week and a half and that's with the nutritionist.
That's all that is required for me to get approval. I'm hoping that I can get a late October, early November time slot for the table. Fingers crossed!!!