morgandonor 0 Posted January 26, 2011 Has anyone been approved by anthem in Indiana or Kentucky w out having to do a doctor monitored diet? I'm so worried to get that...and I really don't wanna hear it's good for you, it isn't for me. I've been wanting lapband for 3 years. My bmi is 53. I'm 22. No it's not good for me. Any experience w anthem in Indiana or Kentucky would be AMAZING Share this post Link to post Share on other sites
TylerAshton567 0 Posted January 26, 2011 I have blue cross blue shield anthem in kentucky although I live in tn but its thru my work. I am on the EPO plan so the only requirement I had was to have a 40 bmi or above. Hope that helps! Share this post Link to post Share on other sites
TylerAshton567 0 Posted January 26, 2011 Oh I also know with the PPO plan the requirements were to either have a 40bmi above with a 5 yr history of being over weight and a primary care dr letter or approval or you can have a 35 bmi or above with 2 life threatening health problems Share this post Link to post Share on other sites
TylerAshton567 0 Posted January 26, 2011 oh I just want to add that my surgeons office sent the info to insurance morning of jan 3rd and they called me back jan 3rd in the afternoon telling me insurance approved it so they approved fast. I didn't have to do a monitored diet only thing was a pshyc eval. That's it. After I did that I met the surgeon and am scheduled for next wed feb 2nd to be banded. So everything happened rly fast for me! Share this post Link to post Share on other sites
morgandonor 0 Posted January 27, 2011 thanks so much. im pretty sure mine will be indiana, my dad is adding me to his insurance in a week. im amazed at how quick you got approved! what is your bmi? good luck with everything let me know how your surgery goes! Share this post Link to post Share on other sites
TylerAshton567 0 Posted January 27, 2011 My bmi was actually 39 so my doctor sent me home to eat to get it above 40 since I am 21 so I just have a high risk of health problems but they have not developed yet so I went home ate everything for a week then went back and it went up to 40.9 so barely above 40 so they submit my papers showing I have a 40.9 and they approved me! I'm excited abt surgery its in 6 days! I have lost 9 pounds so far on the pre op diet but I've also cheated a couple times but when I did cheat it was with stuff that had rly low carbs. Cuz my doctor said if I just rly needed to eat then it needs to be low carb stuff! Share this post Link to post Share on other sites
Day Dreamer 23 Posted February 15, 2011 I am trying to get approval through KY Anthem BC. When I called Anthem BS they said that my employer sets the pre-reqs for the approval. When I asked my company what the quals were, they said they did not have the information. I find it odd that one or the other could not (or would not) provide me the info. I would like to know if I am approved without wasting tons of time and gas going back and forth to Louisville. *sigh* Share this post Link to post Share on other sites