Anthem denied

[Chelle Bean 51]

They don't consider sleep apnea as a co morbidity? Praying you have positive outcome! Good Luck

[2goldengirl 2,076]

Here is a link to Anthem Blue Cross California medical policy for bariatric surgery. https://www.anthem.com/medicalpolicies/policies/mp_pw_a053317.htm

BMI of 35.5 is right at the borderline of being covered at all.

Blue Shield (CA HMO) does consider obstructive sleep apnea a qualifying comorbidity. Hope this helps!

Edited October 15, 2015 by 2goldengirl

[Linaka 92]

I have Anthem Blue Cross. My BMI was just under 34. I had sleep apnea and bad knees so that I "needed" to take painkillers. I had a hernia too. No wait period. I was approved with no problems.

Edited October 17, 2015 by Linaka

[MsMe 22]

Hi all,

I was denied even after the peer to peer review. My surgeon said my sleep apnea is too mild & I don't weigh enough but he will do it self pay. So I'm digging into my savings & paying it as a cash pay. I am super sad about it but I need to move on. I am hoping with my new found energy & spirit I will make that money up over time. It's lime my surgeon said people spend more money on a car than this surgery. I thought about going to Mexico but my husband & family won't support that. Thanks to everyone for your kind words.