BCBS Tennessee

[jcd4436 0]

Anyone with BCBS TN have any issues with getting the sleeve approved????

[knoxvegas 22]

7 month supervised diet is a new change.

[reree6898 1,164]

Once I met the requirements (6 month weight program, three years weight history, etc) and my dr submitted the paperwork I was approved within a few days (like 5 I think it was). I had no other health issues just high bmi. I had also met my out of pocket for the year so my only costs were the psyc eval and then one office co pay.

[knoxvegas 22]

My file was submitted to BC/BS this morning. Was advised 15-30 day for a decision. Fingers crossed!

[knoxvegas 22]

I was approved! Only took 5 work days to get the approval! #relief

[OBXhappy 28]

7 month supervised diet is a new change.

Did you have to do 7 months supervised before you were approved. My dr's office has not heard of the change. My paper work from BCBST states 6 months. Just curious?

[knoxvegas 22]

I had 7 weigh-ins.

[knoxvegas 22]

My policy reads minimum of 6 months on the supervised diets. So going to PCP every 30 days for 6 months does not equal 180 days. First weigh-in May 25th and 6th one October 26th equals 154 days, which would require a 7th weigh-in. I would just double check with your insurance.

Edited November 10, 2015 by knoxvegas

[OBXhappy 28]

I'm only on month three so lots of time to go. My company tends to change insurance companies a lot so who knows what will happen in December when we see our new policies. I was just curious as I have BCBST now.

Thanks for replying

[knoxvegas 22]

Actually my policy doesn't read 180 days. It states a minimum of 6 months, which equals 180 days. Either way it means the same thing. Still requires 7 visits on supervised diet.

[OBXhappy 28]

My policy states 24 weeks / 6 months. In the scope of things what is one more month.

[LRHillian 5]

Once I met the requirements (6 month weight program, three years weight history, etc) and my dr submitted the paperwork I was approved within a few days (like 5 I think it was). I had no other health issues just high bmi. I had also met my out of pocket for the year so my only costs were the psyc eval and then one office co pay.

Did you have to lose 10% of your weight?

Sent from my SM-G928T using the BariatricPal App