Anyone have BCBS insurance?

[christo5 24]

I was told I have to do 6 months of weight loss consultations, along with a few others test to get approved for the surgery. My BMI is under 40. I am going through True results Houston. Anyone have the something different told to them?

[msfitn2014 248]

I have bcbs anthem. I had a bmi of 40 and I did not have to do the 6 mo weight loss consultation, not sure if it was because I was already banded that they knew I had been trying or not. I did have to have I think 3 test done before being approved.

[HalloweenBaby24 447]

I have BCBS ppo of MA and was told I don't have to do the 6month diet, I have a BMI of 41 with no other comorbilitys.

[mlkita 1]

I've got BCBS Blue Choice and also waiting 6 months from start of process. Was told this was because I had not done a full 3 months on another weight-loss program within the last year. BMI 42, but told that wasn't issue, unless I go below 40 without comorbidities--then surgery could be denied.Taking the time to slowly get used to the upcoming changes and starting to tone up so everything doesn't hang later on!

[kerweav 24]

I have BCBS Blue Care and they won't cover a dime of my surgery

[mjfuller 4]

I have BCBS EPO of Texas and I had to do 3 dr visits with my PCP and then it paid 100% of my surgery since I had already met my deductible for the year. But I also have 9 Co-Morbidities and my BMI is 42.8. My Severe sleep Apnea is what got me thru.

Edited June 4, 2014 by mjfuller

[Forsythia 882]

BCBS IL PPO - I had to do 6 months of classes and whatnot. But honestly, the classes and pre-op counseling was worth it to me. I actually took closer to a year when it was all said and done (mostly due to my own scheduling and then towards the end the surgeon's schedule). My BMI was high enough and I was diagnosed with Type II diabetes, so there was no issue with approval.

With BCBS, it really depends on the plan your job picks whether you have to go to classes or if it gets covered at all. I had already met my deductible, but my plan still had an out of pocket maximum I had to pay.

[HalloweenBaby24 447]

I worry when I read about insurance denying other people because they have no "Documented" weight loss attempts.

Of course like everyone else I've been on numerous diets, But none of them were documented other then Weight Watchers but when I called to get them to sign over papers that I attended meeting's they told me they couldn't find me in their system anywhere (Figures). So I'm relying upon a few medical records I found, Some from childhood documenting my weight gain, Another from when I was 11 (I was 166lbs then) and I was sent to a Dietician for my high cholesterol and the last from 2008 (188lbs) when I had my gall bladder removed, In the hospital records it says "Patient states she's on a diet" (Weight watchers at the time).

I'm hoping for approval, wish me luck!

[cschmaltz 1]

I have Blue Cross Federal. It paid well and I only had to do 3 months before my surgery.

[cschmaltz 1]

I have Blue Cross Federal. It paid well and I only had to do 3 months before my surgery.

[joodster219 7]

I, too, have BCBS but it's thru Michigan even though I'm in Missouri. I am currently in month 4 of my 6 months supervised diets. I can't go below BMI 35 with the dieting or I was told they would deny me. So, I am slowly losing and like others have said just learning the new way of life. Trying Protein powders, but not buying too many because that can change after surgery. Also made a list of the month before to use a small plate for portions, drink plenty of Water, using a food diary each day, exercise (going to begin walking) and Vitamins. It seems it's taking forever, but I know it is best for me. My surgeon will submit my documentation the end of July with my 6th weigh in and then ... we shall see.

[jrsygrl007 5]

I have Horizon BCBS of NJ and they were awesome ( I never say that about any insurance company lol)

From what I have heard, they are the easiest to approve WLS.

I had to do a 3 months with the nutritionist, letter of medical necessity/ weight history from primary dr. and the psych evaluation and I was approved in a week with no issues.

My primary did have me at a lower weight last year, idk if that may have helped. They did not require documented weight loss programs from me.My BMI is at 41. Wish you the best & hope you are able to get an easy approval.

[SusinMichigan 76]

I have BCBS of Michigan too, I had nothing to meet for them. They have been paying for sleep apnea supplies for the last 8 years, lots of heart tests last year, BMI of 60. The surgeon's office submitted before I even had the tests done by the cardiologists, new sleep study, etc. and it was approved while I was still waiting for the appointments. They are very happy ... I was costing them a lot of money a year, they can pay for this and hopefully all the problems will melt away thus return on investment is very nice!

BTW, they approved me in March the only reason I'm waiting for my datiwas my surgeon was booked up with the earliest date of July 1.

Edited June 5, 2014 by SusinMichigan

[orlando 44]

I'm going thru True Results in Houston to get my sleeve. I have insurance with BCBS Illinois. My BMI is 40.1. They never mentioned that I ha to go thru consultation. I'm schedule to have my EGD on June 26th and hope to have my surgery soon after.

I was told I have to do 6 months of weight loss consultations, along with a few others test to get approved for the surgery. My BMI is under 40. I am going through True results Houston. Anyone have the something different told to them?

[BarntruckCutie 21]

I have bcbs and as long as my pcp documented that I came in and talked about my weight bcbs accepted that towards my 6 months. For actually 8 months I went to him and tryed diet pills and discussed diet and exercise. So when I decided to get wls it was already done. Good luck to you!