Blue Cross Blue Shield of MA

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I have Blue Cross of MA but live in Texas. I picked out a surgeon and was hoping to start the process but was told that I needed a 5 year history to document my obesity. I had already checked with my insurance and they sent me a copy of their medical policy dealing with WLS. I met all of the requirements. Nothing in their medical policy said anything about getting a 5 year history (which I don't have).

The surgeon's office said that since I live in Texas, they have to follow the guidelines of Texas, not Mass.

Has anyone else had this problem of living in a state different than their insurance (i.e., Texas vs. Mass.). I don't know what the BCBS of Texas guidelines are.

I'm at my wits end and don't know what to do. Any thougts??

[stockyitalian 0]

get the certificate of coverage info for blue corss of tx, good luck

[kellygirl0520 0]

I have never heard of anything so crazy. I have had several different insurance companies in my adult life and all policies were governed by a state other than the one that I lived in. I currently have BCBS of Maryland but live in MS. I have to follow BCBS of Marylands guidelines not Mississippi's. If I were you, I would check with a different surgeon. Good luck to you!

[Guest BikiniBeachy]

yes, that sounds like your surgeons office. I have BCBS of MA and I live in Denver...no such thing here!