Jump to content
×
Are you looking for the BariatricPal Store? Go now!

BCBS Wellmark - History of Obesity...



Recommended Posts

Hey guys! So, I've only gone to one of my six appointments pre-surgery (I need to go once a month for six months because of the insurance), and I've already run into a problem :w00t:.

I have BCBS (wellmark), and I meet all of the requirements...except for ONE. They want a three year history from my doctor to prove I was overweight. PROBLEM: i haven't been to the doctor in years!! I have no record at all of an 'official' weight written down with a doctor's signature. I'm going for my second appointment tomorrow and I know they're going to ask for it again.....but I have nothing to give them! I have a family friend who is a doctor that has known me for those three years, but she doesn't want to 'scam' the insurance because I have never actually been to see her officially at her clinic.....plus she's a pediatrician, so it might raise a few eyebrows :huh2:. I totally understand her reasons of not helping me with this one...but now I'm stuck.

Does anyone know if they'll take photos...or like personal references (doctors...I know a few who have been around my whole life)....I know it sounds silly, but I'm desperate to try and figure this out. My surgery date is suppose to be August 3rd if this works out. HELP :sad:!!! Thanks so much :smile2:!

Share this post


Link to post
Share on other sites

Missing a year myself and trying to find a way around it.

Hey guys! So, I've only gone to one of my six appointments pre-surgery (I need to go once a month for six months because of the insurance), and I've already run into a problem :w00t:.

I have BCBS (wellmark), and I meet all of the requirements...except for ONE. They want a three year history from my doctor to prove I was overweight. PROBLEM: i haven't been to the doctor in years!! I have no record at all of an 'official' weight written down with a doctor's signature. I'm going for my second appointment tomorrow and I know they're going to ask for it again.....but I have nothing to give them! I have a family friend who is a doctor that has known me for those three years, but she doesn't want to 'scam' the insurance because I have never actually been to see her officially at her clinic.....plus she's a pediatrician, so it might raise a few eyebrows :huh2:. I totally understand her reasons of not helping me with this one...but now I'm stuck.

Does anyone know if they'll take photos...or like personal references (doctors...I know a few who have been around my whole life)....I know it sounds silly, but I'm desperate to try and figure this out. My surgery date is suppose to be August 3rd if this works out. HELP :sad:!!! Thanks so much :smile2:!

Share this post


Link to post
Share on other sites

I saw somewhere on this site that a person had used dated photographs for insurance approval. I don't think it would hurt to get photos and letters together--the more evidence the better, right? And it seems to me that a doctor friend could write a letter stating that although you've never been her patient, in her professional opinion, you have clearly been obese for X years. I have three siblings who are MDs, and if I needed it, I would absolutely get them to write letters (of course, being the bossy older sister might allow me to apply a little pressure!:lol: )

Also, do you have records from longer ago than three years? If you could prove that you had weight issues, say, five years ago, it might help, too.

In any case, evidence like that certainly won't hurt your case with the insurance company, and it might help.

IMO, anyway.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        Thank you ❤️

      3. Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×