Amanda, I have BCBS ND. The approval process can be a bear if you don't have at least one co-morbidity, even if you hare 100# overweight. I can walk you through the process as it went for me, although the process went fairly quickly for me as I had a few co-morbidities.
First: Meet with the Bariatric Coordinator. You may have to fill out some paperwork at this meeting or before it. It's similar to filling out a medical history form but it also focuses on your weight history and attempts at losing weight. If the coordinator believes you are a good candidate, they will set up your first consultation with a surgeon. The coordinator will probably push for a sleep study. If you snore, this will be covered by your insurance. Your primary care doctor will need to call in the referral.
BCBS will only pay for your Gastric Emptying study, if you're found to have less than normal gastric emptying. It's one of two of Altru's required tests that your insurance will only pay for if something is wrong, even if they've already agreed to pay for the surgery. The other--I forget the name of the test but it's where they look at your esophagus, stomach and upper intestine. If you're having heartburn (or in some cases excessive hic-ups) then BCBS will pay for this. They will also pay if anything is found during the test.
A lot of the people in my classes had to go through all three before they got their pre-approval for surgery. I don't know if Park Rapids has the NEW Start program but that was required by Altru and is never covered by insurance. $350 for it and honestly, it's a good program that is a combination nutrition/exercise class & group therapy session for 12 weeks. For me: I picked up some healthier eating tips, learned some fun exercise that I wouldn't have tried on my own, and reminded me that I wasn't alone in what I was doing. But that last one is what this forum is for!
Do you know if you have any co-morbidities?