Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Federal Blue Cross Blue Shield requirements



Recommended Posts

I have standard Federal Blue Cross Blue Shield in Arkansas. I have met all my requirements, have BMI of 42 with co-morbities of obstructive sleep apnea and high blood pressure. Have completed all my prerequisites except I have one more weigh in on Oct. 11 to complete the required supervised weight loss. Have pre-op appointment on Sept. 30 and gastric bypass scheduled for Oct. 20. Here's my question... the insurance says must have "diagnosis of morbid obesity for a period of two years prior to surgery." The year 2013 is not a problem but I don't know if they will count 2014 since the year is not finished out. If I can have my surgery before the end of the year it will not cost me anything because we have met our family medical stop loss. I was not sick in 2012 nor was I due for any check ups (remember the insurance requirements now where you don't have to get an annual pap smear, mammogram, etc.). My surgeon's coordinator said find a late 2011. I found one in December but my BMI then was only 33.9 instead of the needed 35. In early 2011 it was even lower, but I found in 2010 the office visit to the cardiologist where I exceeded the 35 BMI and he put me on a diet and I had lost some weight so that is why it was not the needed BMI in 2012. Do you think they will still approve me? It doesn't say it has to be two consecutive years so I do have two prior years, three if they will count 2014, since 2010. My surgeon's coordinator is going to call and see, but I am on pins and needs waiting for an answer.

Share this post


Link to post
Share on other sites

Did you go to any weight loss clinics? If so go get copy of yourrecords. I visited2 different clinics trying phentermine so i went in person to get copies for as long as 2 previous they just like to see you tried losing before hand. If you dont have that maybe they will use 2014 for your records.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
    • RacMag  »  bhogue925

      Hi, I’m new here. I’m currently on the liver shrinking diet. So far so good, but I have to say I haven’t found a protein shake I like. Anyone have any suggestions please? My surgery date is September 17th. 
      · 2 replies
      1. BlondePatriotInCDA

        Fairlife Core are by far the best. They taste just as they are - chocolate milk. You can either get the 26 grams or the 42 grams (harder to find and more expensive). For straight protein look at Bulksuppliments.com ..they have really good whey proteins and offer auto ship plus they test for purity. No taste or smell...

      2. BlondePatriotInCDA

        Fairlife has strawberry, vanilla and of course chocolate. No more calories than other protein drinks. Stay away from Premiere, they're dealing with lawsuits due to not being honest about protein content.

    • Doctor-Links

      HGH For Sale
      hgh for sale at our online pharmacy
       
      Human growth hormone (HGH) is a small protein which is made in part of the brain called the pituitary gland. It travels in your bloodstream all over your body to make your body grow.
      HGH is very important in the body. It is needed for children to grow normally. It helps make sure there is enough muscle and fat in the body. It keeps our bones healthy.
      Buy Rybelsus online, Rybelsus tablets
      You can order for wegovy at our online pharmacy
      Check for the prices of 0.25mg, 0.5mg and 1mg at our online pharmacy and buy ozempic.
      · 0 replies
      1. This update has no replies.
    • Doctor-Links

      hgh kaufen  in unserer Online-Apotheke  
      Menschliches Wachstumshormon (HGH) ist ein kleines Protein, das in einem Teil des Gehirns, der Hypophyse, produziert wird. Es wandert in Ihrem Blutkreislauf durch Ihren ganzen Körper, um Ihren Körper wachsen zu lassen.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×