BCBS CT

[malloriedarling 12]

Has anyone gotten approved or been told that anthem blue cross blue shield will cover any kind of surgery in CT. I have anthem through the state because I am part time and I keep getting conflicting stories. I have my first consult with my surgeon February 17th and it is an anthem blue distinction center plus so I feel like they should cover part of the surgery, but because I have state insurance I don't think they do. I hear good things about bcbs in other states, but CT doesn't require insurance companies to offer weight loss surgery. My backup plan is Mexico but I'd much rather just have surgery on my own state. I'm going to a Saint Francis hospital in Hartford.

Thanks in advance!

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[SilentBotts 138]

I'm on an HSA with Anthem, I hit my 2000$ deductible before I was done with the pro-op requirements. Most of that came from an endoscopy which was about 1500$ itself. Once I hit that everything was 100% covered including the surgery.

When I had the surgery last year Anthem did cover it.

For insurance approval I had to meet these requirements.

BMI of 40 or higher, 35 if I had other weight related issues.

I had to do six months in an approved non surgical weight loss program. I did this through my doctors office with their on staff dietician.

Had to go through a bunch of pre-op check ups to get cleared as healthy enough for surgery, and needed final approval from the surgeon.

I worked with the Hartford Hospital Surgical Weight Loss program.

https://thocc.org/services/surgical-weight-loss

The basically took care of everything, I had a "Navigator" who handled all the paper work, and helping keep track of my pre-op appointments and making sure I was doing all the things I needed to be doing.

My surgeon was Dr. Hannoush and I would definitely recommend him.

[malloriedarling 12]

Silentbotts that's good to hear! I have ppo through the state and I hear good things about anthem but when I look at my plan it says that it excludes weight loss surgery but everything else I see through their website says that they cover the surgery. I guess I'll find out next month

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[blessedgirl80 3]

All policies are not the same. Your employer has the option to include or exclude weight loss surgery.

[malloriedarling 12]

I know, my insurance is actually through the state not an employer because I'm part time. I was just seeing if anyone had gone through this with a state insurance because I keep getting mixed stories

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