Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Insurance questions for BCBS H M O patients



Recommended Posts

I have some questions for those of you that went straight to seeing the surgeon. Do you have a PPO? I actually have BCBS H M O and I started with an appointment to see my PCP and I have my 2nd appt. for the psy. evaluation tomorrow. After my PCP receives the report from the psy evaluation THEN she submits to insurance so I can get a referral to see the surgeon. Does anyone else have any experience with an H M O and if so what was the process you went thru? I'm just nervous because I keep reading all of these people went straight to see the surgeon and I just want to make sure I'm doing this right and nothing gets messed up along the way! I want to get approved SO badly! Also my BMI is 38, but I also have high cholesterol, GERD, Fibromyalgia, Migraines, and urinary incontinence so I'm hoping that should be enough to qualify me. I also have a strong family history of high blood pressure, stroke and heart disease. I would greatly appreciate any information from anyone that has received approval from their insurance could give me!

Share this post


Link to post
Share on other sites

I have BCBS *** insurance. I went to the bariatric surgeon first. I then had to get a letter from my PCP & a list of other tests given to me by the surgeon's office. They knew exactly what I needed to get approved. I had all my results from my testing sent to my surgeon's office. They coordinated everything & I got approved on my first try.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×