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Blue Cross Blue Shield Silver preferred



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Hi y’all. Recently changed insurance coverages , I wanted to know what requirements for weight loss did BCBS have for some of y’all im in NC.

I uploaded a pic of my policy for reference I know they’re usually very different for requirements

E021A705-79CF-43CD-92D5-3EDE093B525E.png

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Hey lady, I work for the insurance carrier and Like you said each policy varies. You included what’s called an SBC you will need to request for the actual
Contract or benefit booklet to get the details. You should also call the insurance company to ask the question and what are the requirements. Good luck 👍🏽

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When i explored the insurance route, I was looking at Anthem BCBS— i had to have BMI of 4o or higher, or 35 with provable comorbity, a psych evaluation, meet with nutritionist and have a sign off from primary care. I had to wait a month -6 weeks for nutritionist meeting then another month to get approval from insurance, as they wouldn’t start that request until all other was done. I decided my max out of pocket was about the same as me going to Mexico, so there you go. My BMI was 37, and i decided i wanted to get started ASAP, and they told me not to lose weight or i might not quality— so off to Mexico I go this week!

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