BlueCross BlueShield SUCKS

[kellbelle 0]

Sorry all:I didn't know what i was doing...didn't intend to "bump" Mrs. Husker's thread. kellbelle

["Just" Paul 1]

I have BC/BS... in other words, I am self-pay.

[TexasTerry 0]

I hear ya Paul, I also have BC/BS and had to be self pay. ANYTHING dealing with obesity in my plan was excluded!

Terry

[Mert 0]

I just got approval from BCBS of TX TRS Activecare. I had given up on them when I got the call that I was approved. What I did was go down their list and fax them everything they wanted on the list. The 12 months of documented medically supervised weight loss was what I could not handle either. So, I took all my medical records and wrote a letter pointing out all my illnessed that are obesity related. Hyperlipidemia, PCOS, back pain, chest pain, fatigue, even on an ultrasound of my ovaries in 2000 the tech noted that the patient was obese, making observation of the ovary difficult. I pointed out that obesity would impede preventive screens of all kinds. Pointed out that the cost of this surgery would be less than impending illnesses caused by obesity.Include in the letter all the diets I have tried in the past two years. My current documented weight at a doctor's visit prove that they failed. Sent all lab results, like complete blood chemistry and any borderline high readings. Find someone specific to fax it to, not one of the phone answerers at BCBS and call and make sure fax is received. They need lots of documentation. They want lots of paper. I think you can get it, you need to dedicate a lot of time to it and pray hard. I don't doubt that divine intervention got me my approval at last, but you gotta inundate them with paper, at least in my opinion...hope that helps you. It worked for me.