Approvals with BCBS Federal

[rln52 136]

Anyone had BMI of 38 and gotten approved with Federal BCBS? I am waiting to hear from them. I do have Diabetes, obstructive sleep apnea, high cholesterol and osteoarthritis. All these are new this year and decided sleeve could help me be rid of some. Hope to hear from others who have bcbs fed.

[SleeveandRNYchica 1,155]

My nut said FEP BLUE usually approved with BMI of 35 and comorbidities.do u have two years of weight history?

[rln52 136]

Yes I do have 2 years at 206 lbs 5 ft 1 in. For BMI of 38. I feel pretty good about getting approval. Just wanted to see how it has gone for others. what phase are you in for surgery?

[TeeNahh 40]

I have bcbs (not federal ) and they approved me in 2 days. I think you'll get approved. I have a high bmi with no secondary illnesses.

[rln52 136]

Thanks for the encouragement. It has been 7 days but the 4th of July holiday was part of those days

I did call BCBS and confirmed they had my paperwork. They told me notes are not made until the decision is made. Also said they have 15 days to review.

[SleeveandRNYchica 1,155]

I think you will be fine! Keep us posted

[rln52 136]

Went to my pre op appointment today and my surgeon told me my BMI was 40.38 when I first went to see him and thats what counts. So Hopefully tomorrow When I call insurance I will get my approval its been 2 weeks. I am excited!

[SleeveandRNYchica 1,155]

Went to my pre op appointment today and my surgeon told me my BMI was 40.38 when I first went to see him and thats what counts. So Hopefully tomorrow When I call insurance I will get my approval its been 2 weeks. I am excited!

Great news!

[liltextornados2015 4]

Went to my pre op appointment today and my surgeon told me my BMI was 40.38 when I first went to see him and thats what counts. So Hopefully tomorrow When I call insurance I will get my approval its been 2 weeks. I am excited!

Have u gotten a response yet from bcbs fed. I also am in the wait game.??

[rln52 136]

No i am still waiting i called Friday last week and was told they sent. A letter to my doctor to let them know they needed more time to review. I kept positive thinking my paperwork arrived around the 4th of July weekend so they are behind. Going to call after work today. A little nervous but I have faith so I am preparing to start preop on Monday.

[PlBren 21]

I also have BC/BS and a BMI of 38. My Dr. is submitting my paperwork sometime next week. I've had a history of having a BMI over 35 for about 6 years now. And I have moderate sleep apnea. I can't imagine that you will not be approved. I think I am much more borderline than you. Wishing you good thoughts and hope we both get approved!

[rln52 136]

Well just called insurance and still no answer. Looks like on 7/16 the letter send to my doctor said they would have a response within 15 days so that means until 7/31 next Friday. I am going to start my preop anyway on Monday. Hoping others have better news today.

[rln52 136]

So I received a letter from insurance approving the overnight stay in the hospital after surgery. So now only the actual surgery is pending. Hope this is a good sign.

[liltextornados2015 4]

Nice, lol thats weird why would they approve surgery stay and not the actual surgery?? Anyways thats a step forward. Glad to hear thats approved for u. I havent gotten anything yet.. Ugh.. Its making me go bonkers playing this wait game. Lol. Do u think its cause it summer and they have alot more requests in the summer than other seasons or months.. ?? Idk..

[rln52 136]

Yeah i do think summer is probably busy. Also people go on vacation and there was that 4th of July weekend they closed both Friday and Saturday. So i am hoping that is reason for delay.