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

BCBS of MA



Recommended Posts

Hi

Anyone have this insurance? If so how was your experience? Thanks!

Share this post


Link to post
Share on other sites

I have this. I've had no issues at all. Just make sure you have a copy of the policy regarding WLS to make sure there are no surprises.

Share this post


Link to post
Share on other sites

I have this. I've had no issues at all. Just make sure you have a copy of the policy regarding WLS to make sure there are no surprises.

Amazon it is great to find someone in these blogs with the same insurance. I do have a copy of their policy and I qualify with a BMI of 40 with no health problems. Do you know what happens if I loose weight before the surgery and go below the 40 BMI? Will I be in danger of not being approved for surgery?

Also, I am not yet totally clear on how much will I need to pay out of pocket. Does BCBS cover 100% of the surgery? My policy has a deductible of $250 and an out of pocket max. of $2500 plus $300 hospital admission fee. I know for sure I am responsible for the $250 and $300 but about the $2500? Definitely calling BCBS tomorrow to see if someone can answer me. When ever I call they do not seem to know too much about WLS and what is covered and what is not.

I am going to the Bariatric Center at Lowell General Hospital, where are you going?

Thank you :)

Share this post


Link to post
Share on other sites

great!

I had to pay my co-pay for the inpatient surgery, $500. Plus my office visit copays through the pre-op appointments. All of my blood work and tests were covered.

I would imagine that these amounts vary based on your plan.

As far a weight loss - I was told by my team that they only go by your initial weigh in. (As a matter of fact, when I told them I had BCBSMA they said they were the easiest to work with.) I qualified because I was just over 36 BMI with co morbidities. I was 195 the day of surgery because of the weight I loss pre op. That was well below a 35 BMI. If you're worried about that, it doesn't hurt to call and ask them.

Share this post


Link to post
Share on other sites

Hello, I have bcbs kinda scared they told me copay of $500 and no more than $3000 out of pocket. Did anyone have to pay this much? Hopefully I won't.

Share this post


Link to post
Share on other sites

I live in NC, but I have BCBS of MA through my employer. We are based out of Cambridge. Plans can vary quite a bit, but I was responsible for $20 copay for office visits. I also paid a $20 copay for my upper GI visit. My surgery is March 9 and my out of pocket will be $250. My total cost for the entire process is approximately $375.

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

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • 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.
  • 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

    ×