Anthem Blue Cross PPO (CA) requirements?

[steve 0]

I'm wondering if any of you folks have Anthem Blue Cross California (PPO)?

If you do, do you know what the requirements for approval for VSG is? I'm not actually a member yet, but will be able to choose it during open enrollment starting 2012. Thanks!

[MikeC 4]

I'm wondering if any of you folks have Anthem Blue Cross California (PPO)?

If you do, do you know what the requirements for approval for VSG is? I'm not actually a member yet, but will be able to choose it during open enrollment starting 2012. Thanks!

To the best of my knowlege you have to have a BMI over 40 or over 35 w/ obesity related co-morbid condition including.....diabetes, cardio disease, hbp, cardio-pulmonary....must have participated in weight loss attempts appraised by physician.....and possibly a phys evaluation. Here is the kicker for me though, mine won't cover bariatric surgery if coded morbidly obese? If anyone knows, what should it be coded?