Bcbs Of Illinois Hmo Question About Medical Policy...

[isajck 229]

Going to be honest with you, I could never imagine going through the pre-op process while under an H.M.O. as I hate the whole begging for care aspect. I did that coverage for years and only stopped after taking a job where it was not an option, best move ever for me personally. I wish you well and luck with everything.

[makemyownluck 785]

I agree it's a pain, but I'm willing to beg at this point!! Hopefully it won't be too awful to get this done. I'm so frustrated not having any direction. I can't find anything on the whole world wide web about anyone having wls thru bcbsil h.m.o. how is that even possible! Lol

Ill keep everyone updated!

[ebonisekim 1,713]

I agree it's a pain' date=' but I'm willing to beg at this point!! Hopefully it won't be too awful to get this done. I'm so frustrated not having any direction. I can't find anything on the whole world wide web about anyone having wls thru bcbsil h.m.o. how is that even possible! Lol

Ill keep everyone updated![/quote']

I head an insurance just last month called beechstreet ppo / embs employee management services ... No one on the plant has heard of it ... But the company I work for change there ppo to aetna

[redilla42 16]

I have my first consultation on aug 2 at lifeweigh bariatrics I have a *** bcbs can anybody tell me what are the next step after the consultation and what to expect from bcbsil ***

[pinksjo1 137]

I would try the insurance company again. The hospitals don't always know and there are sooo many insurance companies. I was told I had to resubmit everything because I changed docs/hospitals. The insurance company told me it wasn't necessary, but the hospital did...So although it wasn't necessary, the hospital would not go forward without the additional approval letter, which I did get last week. So, hopefully, the scheduler will be calling me soon and get me a date.

[redilla42 16]

SO TOMORROW IS THE BIG DAY 1ST STEP TOWARDS A NEW ME SO NERVOUS ....1st CONSULTATION. ....ANY ADVICE IS WELCOMED....PLEASE ANXIETY IS THE WORST

[NellieBean 70]

My doctor told me that this was changed because people were dying during the waiting period.

[NikkiB1 1]

Hi I'm currently in process of supervised diet and they been playing games with saying it is up to my surgeon how long it would be then the diet supervised girl is like you have 12 months of this when I just got done doing a year of calorie counting by myself, I pay 300 a month for this insurance just for the wls and I called bcbs and they act clueless to it all even talking to the bariatic people of bcbs I told the girl at the Kane a Center in Hoffman estates that it was bs when I just got off from a over a year of trying myself to just be told oh well do it again for another year.. I pay 300 a month for this bs and I can't even get anything I need done.. If anyone has any advice or insite all is welcomed

[mobella 6]

Hi I'm currently in process of supervised diet and they been playing games with saying it is up to my surgeon how long it would be then the diet supervised girl is like you have 12 months of this when I just got done doing a year of calorie counting by myself, I pay 300 a month for this insurance just for the wls and I called bcbs and they act clueless to it all even talking to the bariatic people of bcbs I told the girl at the Kane a Center in Hoffman estates that it was bs when I just got off from a over a year of trying myself to just be told oh well do it again for another year.. I pay 300 a month for this bs and I can't even get anything I need done.. If anyone has any advice or insite all is welcomed

Hi NikkiB1, I'm just starting out the process of getting WLS through Kane Center. I also keep hearing about the one year supervised diet, which makes no sense to me since I've already done it with my previous PCP. I recently switched to BCBSIL HMO and had to have medical records forwarded to the Kane Center. I'm really hoping they accept that and don't make me go through another year of supervised diet. Are they still making you continue the supervised diet? What else are they are requiring for WLS?

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[NikkiB1 1]

They are having me do a lot more then what a ppo person would need to do, open enrollment is November 1st so I'm going to switch to ppo so I don't have to go through till next May and also will cut down on what I need to get it done, it is really just crazy how much they want from you I mean come on.

[mobella 6]

They are having me do a lot more then what a ppo person would need to do, open enrollment is November 1st so I'm going to switch to ppo so I don't have to go through till next May and also will cut down on what I need to get it done, it is really just crazy how much they want from you I mean come on.

That's crazy. I just don't understand why they make us jump through hoops for this when it is a medical necessity. I wish I had switched to ppo instead of hmo. I previously had united health care ppo, but they didn't cover WLS. Good luck on your journey. Who is your surgeon? I have my consultation on Friday with Dr. Guske. I'll see what they tell me. *crosses fingers*

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[NikkiB1 1]

Guske is mine.