Bcbsne, Need Help!!!

[runrunpasspunt 5]

I am on BCBS Nebraska. I need to provide the following:

Medical documentation of the patients BMI from the past five years.

Any additional information supporting the medical necessity for the above procedure (lapband)

How do i support or prove medical necessity? I have a BMI of 42, have had a BMI of 39+ for 5 years. I was diagnosed with HBP 3-4 years ago and was diagnosed with sleep apnea 3 months ago.I also have yearly physicals from my emloyeer and doctor supporting my BMI. Is that enough? I have tried almost every diet i can think of BUT i don't have any receipts for any diet. What should i do? I have to have my info in by 9-30-12. Thanks!!!

[line-dancer 810]

I would think yur doctor could povide all that. I went to a weight loss center so they had a shink, nutristionist on staff and my regular doctor did the rest.

Good luck

line-dancer

[NebraskaBlue 0]

Hello RunRunPassPunt,

Our customer service team would be happy to assist you with your question.

Customer Service

1-800-642-8980

Fax: (402) 392-4153

Customer Service Hours:

Telephone Service

Monday through Friday

7:30 a.m. to 6:00 p.m. (CST)

Or, if you would like to have someone call you back, please provide your name and number and I will forward it to them.

Regards,

Blue Cross and Blue Shield of Nebraska

[runrunpasspunt 5]

Thanks for all of your help, i sent my info in and i am waiting for a response!

[ElleG 394]

My medical necessity was a letter to the insurance company written by my primary doctor. Good luck

[runrunpasspunt 5]

I think i am good to go!!! I am meeting with surgeon next week. Thank you everyone who posted and thanks BCBSNE!!!