Texas Teachers Please Report on BC/BS TRS

[Poodles 0]

Would like to know the following things from TX teachers stuck with the TRS Activecare from BC/BS:

1. How long did it take to get approval? If not approved how long have you been working to get approved?

2. Did they require a psyche eval? Nutritionist consult? sleep Study?

3. How many months supervised weight loss did you have before approval?

4. Did you have to call them constantly?

5. Were you denied the first time? Did you have to appeal?

6. Any recommendations for people trying to get approved?

7. What plan are you on (1, 2, or 3) and what was your total out of pocket?

Thank you for your input! This will help greatly! Know there are a lot of teachers out there trying to get approved and a little hope will help!

Here are my answers:

1. How long did it take to get approval? If not approved how long have you been working to get approved? Not approved. Working on it since Oct '05

2. Did they require a psyche eval? Yes Nutritionist consult? Yes Sleep Study? Yes

3. How many months supervised weight loss did you have before approval? They want 12, submitted with 6 but not approved yet.

4. Did you have to call them constantly?

5. Were you denied the first time? Did you have to appeal?

6. Any recommendations for people trying to get approved?

7. What plan are you on (1, 2, or 3) and what was your total out of pocket? Activecare 2, about $910.00 out of pocket so far.

[piercedqt78 658]

You will probalby get more responses inthe insurance forum. I am not from texas but I thought I would try to help. ~Mandy

[Poodles 0]

Ok, I will move it....