jmomma5 0 Posted May 3, 2013 Round 3! Hopefully the third time's the charm! Round one-Anthem BCBS, would have been a go except long story short, hubby's company excludes wls from their policies! Round two-Aetna, tried and denied twice because my BMI is under 40 and my comorbid, hypertension is controlled on two medications, not 3! Aaargh! Round three-HSA qualifies BCBS, hubby now self employed and have this new insurance. Waiting a few weeks before hitting the new plan with this request. Anyone ever been approved for the sleeve on an HSA BCBS plan? I so hope this one is the winning round! Let me know your experience if you've had one! Thanks! Share this post Link to post Share on other sites
DIANA1216 11 Posted May 3, 2013 I have bcbs federal with hsa and had surgery Tuesday 4/30. had no issue with bcbs. all plans vary on co pays but mine were great on my plan. $ 335 for doctors $ 125 for hospital, 0 for anesthesia, already got dr co pay back from hsa. i had prev had band -many problems for me- had *** at that time and paid a small fourtune out of pocket. since i was already under my surgeon's care bcbs went through in less a month Share this post Link to post Share on other sites
jmomma5 0 Posted May 3, 2013 Our plan has a $10K deductible. How does that work for surgery? Will I have to satisfy that deductible before I can have the surgery? Share this post Link to post Share on other sites
Ima Loser 197 Posted May 3, 2013 Our plan has a $10K deductible. How does that work for surgery? Will I have to satisfy that deductible before I can have the surgery? You will have to satisfy the deductible before the insurance company will begin to pay... You can have your surgery before the deductible is met however you will be responsible for 10k or whatever is remaining balance of your deductible before surgery... Share this post Link to post Share on other sites
jmomma5 0 Posted May 3, 2013 Well that is freaking awesome!! Now I just have to get approved! My luck there will be some other weird reason why I still don't qualify! I have high cholesterol, high triglycerides, high BP, GERD, beginning stages of arthritis in my hips and knees, a hiatal hernia, and mild sleep apnea! Aetna would only consider the HBP, but wanted me to be on three meds, and I was only on two! Where is the logic in any of that?!! Well keep your fingers crossed!! I'm going for round three in a few weeks! If I don't get approved this time, I will be seriously depressed!! Anyone know what they require as far as pre req's go? I did a 14 week managed weight loss program a year ago, and I have a 20+ years of documented obesity and HBP. I have seen some people talking about a 6 month weight loss program. Is that a requirement of BCBS? Any info you can give me would be much appreciated! Share this post Link to post Share on other sites