Bcbs

[bandready 0]

Do anyone have bcbs of Pennsylvania. Are they strictly by the book.

[mags2u 57]

I had BCBS of TX. I had to do 6months of pre=op medically managed weight loss. My surgeons office gives forms for you to take to the doctor for him to fill out and then they submit everything at the end for you. They also checked 5 year weight history. I had to do a psych eval, they did approve me on the first submit. I did not lose much in the 6months pre-submission. I would see if your surgeon has a patient advocate/liason that handles any of the insurance and ask questions. If they don't contact your insurance company and have them fax you the bariatric weight loss surgery requirements.

Hope that helps.

[sharonk 23]

I think any insurance company plays very strictly to its rules. Remember they are out to make profit not spend money so follow your policy to a t if i were you. Im on my 4th appeal right now because information sent was not sufficient/accurate. Good luck