BCBS-Texas TRS for educators

[blab10 0]

I have BCBS of Texas TRS (I am a teacher) and i just started the whole WLS process. I haven't even had my first consultation yet. Can anyone answer any of my questions please?

1. Does BCBS Texas TRS even cover WLS? A teacher that I work with had hers covered through them so it should be the same right?

2. What was the process like? What steps did you have to take to get them cover it? What did BCBS require of you before they approved the surgery?

3. How long did it take to get approval? From initial visit with surgeon to getting your approval?

Sorry for so many questions...I am terrified to get my hopes up and get rejected. Any advice would be greatly appreciated!!

[tnpeach 41]

When I had those questions, I called and talked to the insurance company to get the full scoop. I want no surprises. I am not a teacher but just call BCBS and they should give you your info on your policy. Good Luck

[BobInHouston 0]

I'm a teacher in Tx and I have TRS BCBS too. I'm not sure if every district has the same coverage though. Anyway, my wife (also a teacher) had the Sleeve last year and I will have it in June. Here was the catch - an additional $5000 co-pay towards the cost of the surgeon's fee was a requirement. This $5000 was not counted towards deductible or out of pocket max. Maybe you can find a surgeon who won't charge more than $5000 for services and you could save money that way.

Approval via Houston's Dr. Spiegel was less than six weeks. Requirements were a high enough BMI (not sure of the minimum number required), history of failed weight loss attempts, cleared by a psychiatrist, cleared by nutritionist, and cleared via initial consultation with the doctor.

Hope this helps.

Edited April 12, 2014 by BobInHouston