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

I have Blue Choice of SC and got denied!!!



Recommended Posts

Well over two weeks (04/2/08) ago I went to my PCP and got the referrel to the Dr. Givens. I went to the Seminar on Monday (05/05/08) and also got lucky and had my first consult with them also that afternoon. While I was sitting in the office I got the bad new,:) my insurance wont cover anything dealing with weight loss surgery and I don't have $14,000.00 to pay for this surgery. So now I have to appeal to the insurance to prove this is a medical need and not to just look good but for my health. I'm also needing to send a letter to our senator of SC and to the governor of SC. The state of SC has it where the insurance wont pay for this wonderful surgery. I have BlueChoice of South Carolina. If anyone has them or can help me in getting them to approve this surgery I would appricate it. You can email me on here or at rebechuds@aol.com .

I want to be here for my children to see them grow up and be healthy for the rest of my life. I have for the last month cut back alot in what I eat and have lost 6 pounds but I'm hungry all the time to. HELP HELP!!!!!

__________________

Share this post


Link to post
Share on other sites

First let me tell you I was denied by BCBS of MN. What I was told was I needed to work with my primary to loose weight for 12 months. I then was told that when I went on Medicare I could apply after 6 months, and if they okayed it then I could have it done.

Long story short, if you have co morbidities: diabetes, heart problems, lung problems, joint problems, high blood pressure and your primary will write to BCBS this might help your case.

Just keep bugging the bcbs office to ask them in what cases this has been allowed.

Good luck

Share this post


Link to post
Share on other sites

I have spoke with BCBS of SC and they have told me that I will need to speak with my HR dept. b/c they are the ones how has put it has an exclusion in our policies for SC. I'm going a head and submitting an appeal letter with my diet history, family history and some pics of me. I'm trying to get my PCP to write a letter to them and when I go to the phsyc evel. appt in a few weeks I want to make sure I have everything so when i do get the denial, I will submit it right back to them b/c I'm ready to fight with them about this I need to lose the weight for my health.

Share this post


Link to post
Share on other sites

You Go Girl, We Are All Behind You And I For One Would Write A Letter For You To Bcbs As To How It Has Made A Difference In My Life In Just 3 Months!

Share this post


Link to post
Share on other sites

I have a question does anyone know if BCBS of TX PPO (Blue Choice) covers the Lap-Band procedure?????

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

    • 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.
    • RacMag  »  bhogue925

      Hi, I’m new here. I’m currently on the liver shrinking diet. So far so good, but I have to say I haven’t found a protein shake I like. Anyone have any suggestions please? My surgery date is September 17th. 
      · 2 replies
      1. BlondePatriotInCDA

        Fairlife Core are by far the best. They taste just as they are - chocolate milk. You can either get the 26 grams or the 42 grams (harder to find and more expensive). For straight protein look at Bulksuppliments.com ..they have really good whey proteins and offer auto ship plus they test for purity. No taste or smell...

      2. BlondePatriotInCDA

        Fairlife has strawberry, vanilla and of course chocolate. No more calories than other protein drinks. Stay away from Premiere, they're dealing with lawsuits due to not being honest about protein content.

  • 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

    ×