BCBS PPO, who determines the 3 or 6 month wait?

[chocolate_macchiato 23]

I've read a lot of forums/comments and am even more confused. Some folks seem to sail thru the process without a hitch. But there are others that are required to have 3, 6, or even month doctor or dietitian visits. My question is who makes that decision if not your plan?

[Melissad 7]

It depends on what your insurance plan requires. I had called my insurance and requested a copy of my benefits for weight loss surgery and thats how I found out my information. My insurance is also BCBS PPO and they required me to have 6 months of documented primary care doctors visit and a copy of the diet my pcp had me on, along with all the testing that was required in order for BCBS to approve the surgery. I started the process in February 2012 and my insurance didn't approve the surgery until December.

Everyones insurance is different.

[ortega07 59]

It depends on what your insurance plan requires. I had called my insurance and requested a copy of my benefits for weight loss surgery and thats how I found out my information. My insurance is also BCBS PPO and they required me to have 6 months of documented primary care doctors visit and a copy of the diet my pcp had me on' date=' along with all the testing that was required in order for BCBS to approve the surgery. I started the process in February 2012 and my insurance didn't approve the surgery until December.

Everyones insurance is different.[/quote']

I have bcbs pos and was approved within three days after 3 month period. Started first appt with doctor Oct 8, surgery date dec 26! So it was really three appts with wls doc on topographic all clearances! Good luck

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[chocolate_macchiato 23]

I have bcbs pos and was approved within three days after 3 month period. Started first appt with doctor Oct 8, surgery date dec 26! So it was really three appts with wls doc on topographic all clearances! Good luck

Sent from my iPhone using VST

What exactly was the purpose of the 3 month wait? Was it diet related?

[ortega07 59]

I had to meet with the wls 3 times (weigh in each time) nutritionist 2x and the rest of the clearances. The wls appt had to be a month a part.