Insurance coverage

[mchiasson68 15]

Hi everyone! I am just starting my surgery journey and need all the help I can get. I've gained and lost the 160 lb monster that's attached to me so many times it's insane. However, now with the threat of needing new hips it's just time for "her" to die. I have certain health problems but managed to dodge diabetes and cholesterol issues. I have high BP, now the hip thing, and sleep apnea. I am fairly active still for 330lbs doing hair about 50 hrs a week. I've been as high as 400lbz and as low as 189 in the past 10 years. I'm at the end of my rope. I need advice on how to get insurance to help pay. I have. BCBS of Louisiana. Has anyone here hD success with them? Any help is sincerely appreciated.

[vanessak8 158]

Did you call to see if they covered WLS. I don't have them, but when my insurance started covering it it was clearly stated in our benefits package with the maximum out of pocket with it. If they cover it then they generally use the guidelines set by the NIH/AMA guidelines that define who would benefit from WLS and that is a BMI > 35 with comorbidities like HTN, diabetes, OSA or a BMI > 40 without comorbidities.

[mchiasson68 15]

They say initially they don't. But I have so many others saying they did cover it. I'm hoping with letters from 3 doctors that they'll make an exception.