Can you call and find out what your insurance requires?

[spoiltmom 44]

What I mean is yesterday I was told it would likely be a six month process b/c most insurance companies require a 6 month supervised diet first. But the lady said she wouldn't really know until my insurance tells her and she won't even try to find out for at least 3 more weeks.

Is there a way that I can call and just ask them what the requirements are?

[spoiltmom 44]

Hmm, Okay I called my insurance company and asked them what is required as far as a supervised diet and the lady said she had no idea. She said all my plan states is that it will be covered if your BMI is 40 or over OR a BMI of 35 with one comorbidity. That's it. So what does that mean? The surgeon is going to submit a pre dertimination but not until they have all my paperwork ready and that could take another 3-4 weeks.

[jalivia2 0]

That's odd. I was able to call BCBS and find out exactly what they required before I even talked to a surgeon.

[beachcitygirl 5]

I have BSBC and they sent me a packet of the requirments. I talked to my insurrance a lot throught the process.

[getnthere 0]

I have BCBS and all I did was call and ask what the criteria was I had to meet to be approved for the weight loss surgery and they told me everything over the phone in about 5 mins.

I called my PC DR and started the diet required 2 days later.