pictures in lieu of two year weight documentation

[mz.newlife54 103]

Has anyone been successful using pictures if you dont have documentation from doctors office concerning your weight for the two years BCBS wants?

[Jersrose43 837]

You should add the state for the bcbs as they're all different.

[mz.newlife54 103]

Oh ok. I forgot that. Blue cross blue shield federal Basic.

[Rovobay 920]

I too am concerned about the 2 year weight history. I have BCBS Federal (standard)... I was talking with a lady in the dr office and she says the doctors office sends info to a peer review board for review, then submit their findings. says it happens a lot and never run into too many issues. fingers crossed. good luck

[chasingpolaris321 214]

I have BCBS federal standard and was approved with weight documentation that only went back a year and a half ago, so I think there is some flexibly. My surgeons office didn't seem to think it would be a problem, and I was approved within two days. I was worried going into it though, so I totally get your concern! Crossing my fingers for you!

[Rovobay 920]

@chasingpolaris321 Thanks for the positive story.... as time moves forward I am getting more nervous. Not about the surgery but the insurance approval. have my final 3 month medically supervised diet appt. this Friday. after that they can submit for approval. you mentioned you have standard (like me). if you don't mind me asking, what was your approx. total cost for surgery? Thanks!!!

[chasingpolaris321 214]

I'm going in for my surgery this Tuesday and am a little unclear on what my total bill is going to be. I have paid a 250 co-pay for the hospital stay, but believe that I will be responsible for 15 percent of the actual procedure (not the inpatient hospital stay). I'll report back once I know the exact amount!

[Rovobay 920]

@chasingpolaris321 that is what I understand too. basic plan just pays the co-pay for surgeon..... weird because the standard plan costs more.... I thought I had a Cadillac plan, but I guess not. still won't be over 6000 because that is your catastrophic annual max. if I had researched more, I may of waited until open season to change plans to basic to get the surgery, then change back to standard the following year. oh well. it will be the best money ever spent....

[chasingpolaris321 214]

I think it should be a lot less than the out of pocket maximum. From what I understand, the surgeons fee is much less than the hospital stay, and so you only end up paying 15 percent of that. So if it was $4500 for the surgeon you pay 675 in addition to the 250 hospital co-pay. It is possible that I'm doing this wrong and I'm prepared to pay a lot more than that, that's just what I've gathered from looking into the plan and reading this board.