Bcbs of tn

[Deb1216 0]

I have bcbs of tn ppo plan through kroger comp. Just wondering how good they are. Never had any surgeries of any kind. Can you tell me your exp with them. Did you have to pay any out of pocket beforo or aftet surgery

Thank you for any information

[bcbstennessee 0]

I have bcbs of tn ppo plan through kroger comp. Just wondering how good they are. Never had any surgeries of any kind. Can you tell me your exp with them. Did you have to pay any out of pocket beforo or aftet surgery

Thank you for any information

Hi Deb,

My name is Jessica and I'm in charge of social media communications at BlueCross BlueShield of Tennessee. I saw your inquiry and we would love to help you find the answer to your question.

It looks like all plans for Kroger include benefits for Bariatric Surgery. But, the best thing to do if you have any questions is to call us toll-free at (800) 565-9140, or access your benefit information online at bcbst.com/blueaccess.

BCBST highly recommends a pre-determination for this type of procedure. It’s basically sending us all the information ahead of time to make sure you meets the criteria to show it’s medically necessary to have this surgery. There’s a form online at http://www.bcbst.com/mpmanual/Bariatric_Surgery_Predetermination_Request_Form.pdf that you can take to your doctor and submit for that pre-determination. Pre-determinations usually take about 7-10 business days to review. Both you and your doctor will receive a response in writing.

Hope that helps answer your questions. Please call if you have any other questions or concerns about this procedure.

Thanks,

Jessica

[Deb1216 0]

Well I want to thank you for your help and info you were very helpful the lady told me were to go on the wen site. I went to search typed in bariatric she told me the links for the guidelines and anthing esle I needed to know but the guidelines link doesnt show im probaly doing something wron thanks

[bcbstennessee 0]

Well I want to thank you for your help and info you were very helpful the lady told me were to go on the wen site. I went to search typed in bariatric she told me the links for the guidelines and anthing esle I needed to know but the guidelines link doesnt show im probaly doing something wron thanks

Hi Deb,

Here are the links i think she may have given you:

This is the website for the Medical Policy information:

http://www.bcbst.com/mpmanual/!SSL!/WebHelp/Bariatric_Surgery_for_Morbid_Obesity.htm (form is 3rd or 4th down)

This is the link for the predetermination form:

http://www.bcbst.com/mpmanual/Bariatric_Surgery_Predetermination_Request_Form.pdf

Hope this answers your questions!

Thanks,

Jessica

[Deb1216 0]

I called and was told that they dont have the site for mobile phones yet this is all I have as far as a computer. I can probaly get on the site at work. I wnt to a seminar today at vanderbilt was told wht to do next meet with surgeon they said insurance person would talk with me and would let me kniw what was covered and guidelines would be.