BC/BS new changes!

[knoxvegas 22]

BC/BS of Tennessee changed policy 2 weeks ago. The 6 month supervised diet is now really 7 months. The time from the very first weigh in to the last must be 180 days, so this is technically 6 months and 2 weeks. I completed my 6th visit yesterday and submitted to surgeon and was advised of the changes. This practice is top notch and on top of things! They had no warning from BC/BS of the new requirements. The clinic coordinator stated that she has 7 denials on her desk, but lucky for me I can attend one more visit with my PCP. Others not so lucky!! If I had to start this whole waiting game over, I would be devastated!

Edited October 27, 2015 by knoxvegas

[Dr-Patient 830]

Just more proof of big business, and insurance companies, taking over the practice of medicine and the physician's ability to provide care to patients as they need it...not as dictated to by insurance companies. Evn them calling all in health care "providers," not nurses, physicians, etc...is to minimize the true role clinicians play. Sad, annoying times.

[Champ715 207]

That's odd. I have BCBS AL and knew about the "7 month" requirement all the way back in March when I started. It is still a 6 month supervised diet, it's just 7 visits. March to September is only 6 months but I had 7 visits.

[Trinn 139]

Wow, that's crappy -- but remember, the terms also depend on state rules, etc. So, this may not affect folks in other states.

It's sad BC/BS anywhere is going that way. Blue Shield of CA just dropped the 6 month requirement and a bunch of others in June.