Call & fight w/ BCBS URGENT- XP

[honeyrubybee 1]

I've been denied twice for VSG by BCBS. Both times they are saying I didn't have the minimun BMI 40. At my initial consult with my surgeon my BMI was 40.5. BCBS required I follow a 3 month medically supervised diet. In which time, I lost some weigh. Now they're saying I don't qualify!! I'm going to call BCBS & discuss this with them. I've never spoke with rthem before. Anyone have tips, suggests, experiance?? Thanks fo much!

[doggz109 41]

I've been denied twice for VSG by BCBS. Both times they are saying I didn't have the minimun BMI 40. At my initial consult with my surgeon my BMI was 40.5. BCBS required I follow a 3 month medically supervised diet. In which time, I lost some weigh. Now they're saying I don't qualify!! I'm going to call BCBS & discuss this with them. I've never spoke with rthem before. Anyone have tips, suggests, experiance?? Thanks fo much!

Do you have any co-morbidities? This isnt' for your insurance company per se....I think its federal guidelines. You must have a BMI over 40 or over 35 with 2 co-morbidities (high blood pressure, diabetes, etc). I think this is pretty standard for most places - I've seen it every place I've gone. It's just to get the surgery done....not even to qualify for insurance.

I would say your options are either going to be self pay somewhere or gain weight. Sorry.

[gfawcetti 13]

Bummer... I am scared of the same thing!! Which BCBS do you have, if you don't mind me asking??

Glenna