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

BCBS PPO Florida



Recommended Posts

i have bcbs of mich. i was approved in one week .you need to read your policy and see if there is an weight loss surgery excl. if not email me and i will help.

Share this post


Link to post
Share on other sites

Well, I read my policy and called the company. WLS is NOT excluded! Woo hoo!!! First hurdle crossed. Now I want to do everything as right as possible from the beginning. What is the first step?

Share this post


Link to post
Share on other sites

Ladydigs, the first step is to see if you can decipher what the criteria is your carrier uses to consider people qualified for weight-loss surgery. If it's not clear in your policy documents you might ask your surgeon for that info, or call the carrier directly. It will probably be similar to the list we've all seen: basically you need to have a BMI of at least 40 or a BMI of 35 with two comorbidities.

If you have a PCP, go see that person and have them make a diagnosis of morbid obesity. Then talk to your surgeon and see what the next step is. With a PPO it might be just having the surgeon examine you and then making a precertification request for surgery. If the precertification request is declined, you'll have more information about what to do next.

Good luck!!

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

    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        Thank you ❤️

      3. Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

    • Alisa_S

      Bought a treadmill and some 5 lb weights. Time to get off my butt and get moving!
      · 1 reply
      1. DaisyChainOz

        That's a great choice! 😊

    • DaisyChainOz

      Surgery done!  Really looking forward to the next chapter 🥳😁
      · 3 replies
      1. GreenTealael

        Congratulations!!🎉

      2. Bugzy46

        Congrats

      3. Alisa_S

        Fantastic! Best of luck to you & I hope you're healing nicely & not having much pain!🙏

  • 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

    ×