Jump to content
×
Are you looking for the BariatricPal Store? Go now!

5 years worth of medical records and BCBS



Recommended Posts

5 years worth medical records BCBS

Have any of you with BCBS (I have Blue Shield Access HMO and am in CA) been approved without 5 years worth of records. Does it have to be the last 5 years?

I have not had insurance and maybe have 1-3 doctors visits during this time. However, since I've had 6 kids (starting in 1981 and ending in 2000) I can get them weight/blood pressure records in 9 month increments from the obs office:blink:

I really hate to think I'm going to have to wait 5 years to begin this process. I believe I'm a great candidate for surgery and my BMI is 42.

Thank You!

Cindy T

Share this post


Link to post
Share on other sites

I have BCBS...

Here's the skinny on the 5 year. They like it a lot, but it doesn't necessarily have to be 5 CONSECUTIVE YEARS. If you can get 5 weights within the last 10-15 years, you should be fine. I was in a similar situation. Instead, I had my grandmother who works at a doctor's office a few states away just manufacture some weights for me. I know, immoral, but after dealing with BCBS for 4 months on this, I am none to happy with their morality standards. My struggle with BCBS has nothing to do with that weight history though, my BMI was above 50. Anywho, suffice to say it is no longer above 50.

No one.... not the insurance company, the doctor, no one batted an eye at that 5 year weight history that was fudged for me. In any case, my doctor informed me that not many people have a 5 year CONSECUTIVE history. Remember, the more data you submit to the Insurance, the better off you are... so if you have 20 years off and on, then submit everything you got.

Good luck and please let me know how it works.

Share this post


Link to post
Share on other sites

Thank You! That makes me feel more encouraged. I'm not concerned about the morality issue. If I must, I will find a way myself.

I've been over 40 BMI for most of my life and spent a good amount of time trying to dress to hide it. I find it ironic I am now concerned about proving it:laugh:

Cindy T

Share this post


Link to post
Share on other sites

I actually just got off the phone with BCBS-IL, and the lady was so nice. When I asked about the five year history, she said feel free to dump in any medical documentation re: weight/BMI/weight-loss/co-morbidities from as far back as you've been obese. She said the more info, the better. So I can't imagine they'd punish you for sending them information from more than five years out, as long as it shows you've been obese.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×