Sleeve Coverage -Bcbs

[kiwi0615 0]

I have NJ horizon bcbs.. I submitted to insurance and now playing the waiting game... I heard it was covered but with a lot of requirements... getting pretty worried....

[NOELEVON 8]

I did find out that the sleeve is covered Yeah! My requirements were a three month program: 1 weight loss class, 1 nut visit, and a psych test. My surgeon also asked that I lose 20lbs. I've met all requirements as of yesterday. My paperwork will be submitted by the end of the week, and I should be hearing from the hospital to soon for my pre op tests.

Those who have had the surgery, if you don't mind me asking, did you have to meet your deductible only or your out of pocket and deductible before the insurance kicked in?

[Meli01 53]

BCBS CA here as well. What were the insurance requirements? I found out I'm covered (I am the employer and I guess got lucky that I picked the right plan that covers VST!).

I am a lapband revision, but I'm concerned that I would qualify for a new procedure (33 BMI, etc.).

My Insurance requirements were a single nutrition visit and a referral from my PCP. I have the access plus BCBS plan.