Anthem BCBS NC

[Marissa.Ann.C 21]

So I have Anthem BCBS and I have SEVERE anxiety about this pre op 6 month diet because I was denied 2 years ago. So far I've been 2 times (the initial appt and a follow up) and I've maintained but not lost anything. I'm going to be honest, I started back at school and wasn't really trying. Now my anxiety has really set in. I'm walking now and monitoring calories. My fear is that they will still deny no matter what I do. How much weight do I have to lose? How much did you lose? Help please! I'm walking 3X a week for 30 mins and taking in about 1700 calories. (MyFitnessPal)

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[TCC2010 2]

I have the same insurance and I had to do the 6 months diet. I lost 27 lbs before my surgery and was approved. I had my surgery Aug 30. Did they not approve you due to not losing enough weight or was it something else?

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[Marissa.Ann.C 21]

I wasn't quite at the weight requirement and I didn't have any comorbid conditions (pre diabetes and PCOS but they didn't count those) I was under 40 for my bmi

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[TCC2010 2]

You do have to have a medical condition to get approved. I have sleep apnea, arthritis and my bmi was over 50.

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[Marissa.Ann.C 21]

Well now my bmi is over 40 so insurance doesn't require a comorbid condition

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[soreadyforachange 5]

Did you end up being approved? I am pre op now with the same insurance.

[BecomingMeAgain 46]

From what my dietitian told me as long as you are at least 1 lb under what you started at with your 6-month Wayans it should be approved unless the dietitian doesn't think you're trying very hard it's going to all be up to what the dietitian rights in the letter and that's coming from my dietitian

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