JenSul 21 Posted July 7, 2014 Anyone have this insurance? If so how was your experience? I know they don't do the 6 month supervised diet, which I am thankful. Thanks Share this post Link to post Share on other sites
beachgurl84 456 Posted July 8, 2014 I have BCBS NC. Check out this other topic we've been following because they apparently just changed the 6 month diet requirement (got rid of it). http://www.bariatricpal.com/topic/311979-bcbs-nc-6-month-supervised-diet-maybe-changing-as-of-july-1-2014/ Share this post Link to post Share on other sites
amazon 579 Posted July 9, 2014 Hi I have BCBS-MA. They were very helpful and informative when I called to inquire about bariatric coverage and promptly emailed me the relative policy which I brought to my consult. I was told at my consult that they are extremely easy to work with. They also base their approval on your starting weight. Unlike some insurance companies that go by your weight the day of surgery. This would be relevant if you are at a 35 BMI and just qualifying - you would then have to be careful not to dip below that. Not with BCBS-MA. I've had lots of appointments/tests going through the program, and they've paid for everything (minus appropriate co-pays). That's about all I've had to go through with them so far. 1 JenSul reacted to this Share this post Link to post Share on other sites
JenSul 21 Posted July 9, 2014 Hi I have BCBS-MA. They were very helpful and informative when I called to inquire about bariatric coverage and promptly emailed me the relative policy which I brought to my consult. I was told at my consult that they are extremely easy to work with. They also base their approval on your starting weight. Unlike some insurance companies that go by your weight the day of surgery. This would be relevant if you are at a 35 BMI and just qualifying - you would then have to be careful not to dip below that. Not with BCBS-MA. I've had lots of appointments/tests going through the program, and they've paid for everything (minus appropriate co-pays). That's about all I've had to go through with them so far. Amazon- thanks so much for the information. Are you from MA also? I have a BMI of 35 with sleep apnea so that makes me feel better. Thanks so much! Share this post Link to post Share on other sites
amazon 579 Posted July 10, 2014 JenSul - anytime The policy should state exactly what the requirements are. They may differ by employer. But I hope yours is a simple as mine - for BMI of 35-40 one comorbidity and NO supervised weightloss plan. When I told the NP who I have for insurance, she said they're wicked easy to work with. Didn't expect any problems. Share this post Link to post Share on other sites
JenSul 21 Posted July 10, 2014 JenSul - anytime The policy should state exactly what the requirements are. They may differ by employer. But I hope yours is a simple as mine - for BMI of 35-40 one comorbidity and NO supervised weightloss plan. When I told the NP who I have for insurance, she said they're wicked easy to work with. Didn't expect any problems. Mine is the same Share this post Link to post Share on other sites