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

Federal BCBS paid for my sleeve 100%, minus the copayments for the hospital and my surgon!



Recommended Posts

I was sleeved in January, BCBS Federal covered 100% less $150 hospital and $150 surgeon co payments.

Share this post


Link to post
Share on other sites

Wow! That was quick. My coordinator told me last week that BCBS should have my file early next week (meaning this week), so I am hoping I hear something by the end of the week. I have two questions. How did you find out you were approved? If you don't mind me asking - was your BMI under 40?

Share this post


Link to post
Share on other sites

I have federal BCBS and my insurance did the same thing! They covered 100% minus the $250 hospital copayment. I love them!!!!!!

Share this post


Link to post
Share on other sites

Wow! That was quick. My coordinator told me last week that BCBS should have my file early next week (meaning this week), so I am hoping I hear something by the end of the week. I have two questions. How did you find out you were approved? If you don't mind me asking - was your BMI under 40?

That's great I bet you will be hearing by the end of the week! I actually called BCBS and found out by calling the pre certification phone number and then not even three hours later the nurse at the surgeons office called and told me I was approved. Yes my BMI is 48, and I don't mind you asking. :)

Share this post


Link to post
Share on other sites

Did you have to take the MMPI test to fulfill the

psychological assessment requirement for federal bc/bs?

That is a 500 plus questionnaire that my dr's office states I must take before I see the Psychologist to qualify for

the surgery.

Share this post


Link to post
Share on other sites

Did you have to take the MMPI test to fulfill the psychological assessment requirement for federal bc/bs? That is a 500 plus questionnaire that my dr's office states I must take before I see the Psychologist to qualify for the surgery.

I had to take an assessment but it was only about 100 questions I think. Not 500 for sure. I took it at the psych eval.

Share this post


Link to post
Share on other sites

Yes, I did take MMPI test. I passed. I didn't really realize you could pass or not pass, but the NP told me that she recvd 4 reports for the psychologist the day she received my results and I was the only one who "passed".

Share this post


Link to post
Share on other sites

BCBS approved me within a week. They also sent me a letter informing me that they had approved the hospital stay.

Share this post


Link to post
Share on other sites

I didn't have to take the MMPI, just a shorter one when I went for my psych eval. Also, I prepaid my hospital bill today. I'll be in two nights, and my portion is $350.

Share this post


Link to post
Share on other sites

My insurance (BCBS federal) seems to have taken only a day and a half - I checked on Tuesday afternoon to see if they had gotten the submission and they said it wasn't there yet. But come Thursday morning (yesterday), I got a call from the bariatric center telling me that it was approved.

My center required a whole slew of psychiatric questions - three "tests" on the computer and three pen/paper. The funnies part of the final meeting with the psychiatrist was when he told me I was an "unconventional thinker". I had been told this by previous bosses but never by a psychiatrist - I think this might make it official :-)

My surgery is scheduled for May 12. I'm not too concerned, per se, but I'm traveling for work the next two weeks and there isn't a whole lot of food options available. I'm taking my Protein shakes with me but I'm really going to have to watch what I eat for the other two meals!

Share this post


Link to post
Share on other sites

I have Federal Blue Cross Blue Shield and mine took a little over two weeks to get the procedure approved. I had to provide office notes for the past 2 years saying I that I was obese for that long also paperwork that I was attempting to lose weight for the past 2 years. I tried sensa, doctors shakes and all the diets you can imagine but I didn't have the paperwork for those. Luckily I was seeing a weight control doctor for 1 year and that with gym membership was enough. so far what I read on my insurance booklet is that federal BCBS PPO pays 85% of all the cost plus $250 co pay for the hospital. I will be 2 weeks out and I haven't received any bill but this is what I know for sure the insurance covers.

Share this post


Link to post
Share on other sites

My paperwork was submitted on Tuesday. I called BCBS today and they said it was pending. They need a call from the surgeons office. Yikes! I called surgeons office and left message. Now I am really worried

Share this post


Link to post
Share on other sites

My paperwork was submitted on Tuesday. I called BCBS today and they said it was pending. They need a call from the surgeons office. Yikes! I called surgeons office and left message. Now I am really worried

Lolly, did you get your approval yet? It seems to move pretty fast...

Share this post


Link to post
Share on other sites

GardenLady,

I just received my approval this afternoon! My BMI was under 40, so I'm guessing that's why it might have taken since last week. I have an appointment next Thursday with cardiologist to get cardiology clearance then I meet with surgeon to sign consents. I guess that's when you schedule a date. I am pretty excited and scared. I ran into a friend tonight who had gastric by-pass and she looked pretty bad. I think she's lost too much weight. She was all shrivelled (spelling?) up. Where are you in the process?

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

    ×