rainenroses 8 Posted April 14, 2008 :confused:i have bcbs of MA. i know it covers the lap band surgery. i have my dr appt set up (may 9th initial consultation ) here is where i am confused. i am hearing a lot of people say you have to wait 6 months.......... i just received my BCBS coverage papers in the mail today ( i requested them ) it says nothing about a 6 month wait. it does say (and i am writing word from word here ) *" ALL ELIGLE PATIENTS WILL BE GIVEN AN AUTHORIZATON LASTING 3 MONTHS . ADDITIONAL 3 MONTH EXTENSIONS REQUIRE DOCUMENTAION OF WEIGHT LOSS OF AT LEAST 4 LBS PER MONTH DURING THE PRECEDING 3 MONTHS . COVERAGE WILL BE DENIED PERM. AFTER 2 FAILURES TO LOSE 12 LBS PER 3 MONTHS OF THERAPY "* help! :rolleyes2: anyone decipher that to me as if i were a child ?...lol does this mean i only have a 3 month wait but have to lose 12 lbs in that time ? anyone else have bc of ma? :smile2: Share this post Link to post Share on other sites
annielkd 0 Posted April 14, 2008 I don't think that's what it's saying. After you get coverage (what ever their requirements) the surgery has to be within that 3 months.... if you need to extend it... then you have to have lost 12 pound... I think. I did NOT have a required amount of time to wait... or time to lose. I used BCBS... but, I'm in Connecticut. AND, it depends on your type of plan based on your work. But, I'll bet you will be fine!!! :rolleyes2: Share this post Link to post Share on other sites