Blue Cross Federal

[Maloneymommy 19]

Talk to me about your experiences with getting approved with Blue Cross Federal. Would you consider them super picky or more relaxed?

I'm specifically curious about the supervised weight loss period as well as proving previous attempts were unsuccessful.

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[mitzie46 116]

I have FEP bc/bs standard option and the process went very smoothly. I did have to meet with someone for the supervised part. I can't remember for sure but I think it was 3 times. I had my surgery in 2013. Good luck on your journey! I think my unsuccessful attempts were proven through my PCP records.

[Elle09 157]

I have BCBS Fep and I am scheduled for surgery 28 April 2016. There was a requirement for 3 months supervised weight management, which includes 3 visits with a nutritionist , and you must complete a full 90 days which starts with your first appointment with the nutritionist. You also have to complete a psych evaluation. Keep in mind there may be other test the physician may order.

My primary care physician was able to provide documentation in regards to my weight loss efforts.

In the benefits handbook I believe it is page 62 or 63 there is sort of a checklist that outlines requirements for bariatric surgery which includes bmi requirements and co- morbities. This is helpful.

I would recommend someone going through BCBS Fep to also take a look at the brochures for Blue Centers of Distinction/Excellence that may be in their area.

Hope this helps.

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[j16 166]

I'm curious about this as well. I called them and was told they usually make a decision within five business days so we'll see. I got two different answers from two people as to whether if I lost too much on my pre op supervised three month diet it would be considered as ineffective. One said it might and the other said as long as my weight loss didn't bring my BMI down below the cutoff I was fine.

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[Elle09 157]

I initially was told that once the paperwork is submitted it takes 4 - 5 business days. When my paperwork was submitted I got an answer in 5 days.

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[j16 166]

Same here I was accepted in exactly five days. I lost about 10% in my medically supervised pre-op three month period.

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[165B445 188]

Talk to me about your experiences with getting approved with Blue Cross Federal. Would you consider them super picky or more relaxed?

I'm specifically curious about the supervised weight loss period as well as proving previous attempts were unsuccessful.

Sent from my iPhone using the BariatricPal App

BC/BS Fed for me was easy breezy... just had to do 90 day supv NUT visits... I just have to pay my inpt deduct. With that invited in med flex spending acct. To help offset copays $35, $100, $350....

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