Anthem BC/BS, KY (Blue Access)

[TracyinKS 7]

I am so :angry !

I started checking into a band for my mom......

I helped her set up a profile, and then I downloaded her Health Certificate... guess what is on EXCLUSION #33? You guessed it..

33. For bariatric surgery, regardless of the purpose it is proposed or performed. This

includes but is not limited to Roux-en-Y (RNY), Laparoscopic gastric bypass surgery or

other gastric bypass surgery (surgical procedures that reduce stomach capacity

and divert partially digested food from the duodenum to the jejunum, the section of

the small intestine extending from the duodenum), or Gastroplasty, (surgical Certificate

procedures that decrease the size of the stomach), or gastric banding procedures.

Complications that result in an Inpatient stay or an extended Inpatient stay for the

bariatric surgery are not covered

Dang it, she needs it so... and now she is so depressed........ I swear.. If I had the money I would fly her ass to Mexico and get it done, OR Denver, but Mexico would be warmer...

[beachgirl 2]

yep, I have the same insurance and I had to self pay in Mexico. Good luck.

[TracyinKS 7]

If I could just get her to COME TO THIS BOARD.. she might consider it.... by you know MOMS

[lizrbit 0]

okay now im really confused...

i have anthem bc/bs, in Maine, and the call we made today, they said they would pay 100 percent, over the phone...

they needed a complete list of everyone who would be billing them.

tracy, im superconfused...why would it be different? should i call them back?

[mel07 0]

It is because you have ANTHEM BCBS. She has a different state blue cross that is not an ANTHEM state. I have heard Anthem is really good about covering it. I just got my surgery date today It is Feb 6th and I have anthem as well.