Highmark PPO Blue question

[tas 0]

Hello. I'm in PA and have Highmark PPO Blue Insurance. My BMI is 37.2 which puts me in the less than 40 but greater than 35 class. I have Arthritis in both knees and lower back. I wear a brace on one knee. I also have Acid Reflux and high Cholesterol. I am two month's into my six month supervised diet and my surgeon told me I am borderline at best for approval. The insurance girl in the office told me if I meet the requirements I should be in very good shape for approval. I hope she is right. Has anyone else out the used Highmark Blue PPO and what were your results?

[nursenky9 0]

tas:

I have highmark bcbs ppo out of PA. I live in KY and work for hospital that is head quartered in PA. BCBS sent me a copy of their policy on wt loss. It reads a cumulative 6mo wt loss on the previous 2 yrs prior to surgery, psych, & nutrition eval. I have all the info. The surgeon is out of town and will be back tues. 7/1/08.

Contact your ins. and have them send you the policy on bariatric surgery.

I hope it is not a long wait for the surgery.

[tas 0]

I called the insurance office and had them send me the requiremets also. I'm three months into the six month diet and have already had the Phsyc Eval. I'm hoping the co-morbidities will be satisfactory for Highmark because the policy only gives examples and mine aren't on the list of examples. Three more month's and I should find out.