Blue Cross Blue Shield of Texas?

[Teebaby 27]

Hi, I am starting out in the process and my husband's ins is BCBS TX. Does anyone have any recent stories about the requirements, submission process, and approvals. I appreciate any info you can give. Thanks...

[ambwolfe 20]

That's who I have insurance and with my bmi all I need is a psych evaluation for them to cover it. I still have to at my deductible though and all that. It was a much easier process than I anticipated.

[Teebaby 27]

Thanks...that makes me feel much better. I have been soooo worried about going through this whole process.

[ambwolfe 20]

I'm not sure what they base their decision on though. I'm sure it depends on bmi.

[heartonmysleeve82 11]

I also have BCBS of Tx and the process with True Results was real simple. They don't really require a lot like other insurances do. They will approve if your BMI is above 40 or 41 I believe, or if its 38 or higher with comorbidities. If you meet the BMI qualifications they only require a PSYCH Evaluation and they a letter from a Dr (which True Results handled for me).

Best of luck!

[nerdmom 4]

I have bcbstx and after doing everything required I was denied and they told me it not only wasn't on my specific policy but it doesn't get approved in the state of texas. I am now self pay. I'm so pissed. My bmi is over 40 with co-morbidities and they told me too bad so sad. Bcbs can't find of course any of the calls from when my surgeon's office called to verify.

[nerdmom 4]

I should add we are self employed and our insurance is bcbs but private. Ppo. $800 a month for the highest package they offer and it's excluded. :/

[Teebaby 27]

My paperwork should be submitted anytime between today and next Fri. Waiting game is on now...I'm excited and nervous at the same time. I'm in pray for a quick approval. I'll keep everyone posted on their decision. Thanks for the support and information.

[Teebaby 27]

I'm sorry to hear that @nerdmom. Are you self-pay with the same physician or have you decided to go to Mexico?

[nerdmom 4]

Thanks @@Teebaby I hope all goes smoothly with your approval. My situation is unfortunate but I am fortunate to be able to pay on my own for the most part. My same surgeon's rate is $10,500 flat rate. If I were to head to Mexico theirs was like $6,800 and their hospital is like 30 miles from my house. I'm staying with my surgeon because I'm really insanely picky about doctors and I'm comfortable with him. If I were to head to Mexico I also would not have anyone to watch my kids while I was there. So that also played a factor.

Edited March 13, 2015 by nerdmom

[Jimmy Mangold 4]

My paperwork should be submitted anytime between today and next Fri. Waiting game is on now...I'm excited and nervous at the same time. I'm in pray for a quick approval. I'll keep everyone posted on their decision. Thanks for the support and information.

My paperwork was submitted on 03/10/2015. I called to checkup today, and it currently under review. I hate waiting!

[Teebaby 27]

Hi, everyone! I found today that I have been approved for surgery...I'm super excited!!! My paperwork was submitted 3-13-15 and the decision was made 3-16-15. I received the letter from BCBS TX in the mail today. I have waited soooo long for this day. I don't have a surgery date yet, but that should be coming this time this week. Thanks everyone for your advice. Good luck to everyone!!!

[heartonmysleeve82 11]

That's awesome, I hope mine happens that fast...I have BCBS of Texas also, they received mine on 3/30 so I am just waiting. I pray everything goes well for you!!!!

[Teebaby 27]

@@heartonmysleeve82 thanks for the prayers...i will lift you in up in prayer as well.

[Teebaby 27]

Surgery scheduled for May 4th!:-)