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

Anthem BC/BS Approval?



Recommended Posts

I have a surgery date for July 28th. Documentation was submitted to insurance company ( Anthem BC/BS ) on June 26th. Doctors office said we should here by this week. Does anyone else have Anthem, and how long did it take to get approval? Very anxious! Whole process was fairly quick. Consult 5/14/08, completed all required testing, Pre-op appointment 6/26/08 with submission of documentation to insurance. liquid diet starts 7/14/08.:thumbup:

Share this post


Link to post
Share on other sites

Hi, Dalene-

I have Anthem BC/BS and received my approval May 19th and my surgery was June 4th - just enough time to get my liquid diet in before surgery! My BMI was 37 but I had some co-morbidity factors.

All the best to you!

Share this post


Link to post
Share on other sites

HI Dalene

You shouldn't have a problem with BC Anthem, I also have them. Although it may be different from state to state I haven't sen anyone on this blog who was refused with blue cross.....unless you have an exclusion. If you called them prior to going to physician's office they would have told you that you had the exclusion....good luck and welcome to our world.

Share this post


Link to post
Share on other sites

Hi! I also have Anthem BCBS and was wondering what documentation you had to provide? I have BMI of 39 with Type 2 diabetes so I'm pretty sure I shouldn't have any problems but would just like as much info before I pursue it. Thanks!!

Share this post


Link to post
Share on other sites

Hi Mike, I had the following test. Blood work, Nutritionist, Psychiatric clearance, Cardiac clearance (EKG) & Echocardiogram, Upper GI, Pulmonary Function Test, Arterial Blood Gas Analysis. I do not have any other health issues other than having a BMI of 43. Hope this helps.

Edited by Dalene

Share this post


Link to post
Share on other sites

Hi! I also have Anthem BCBS and was wondering what documentation you had to provide? I have BMI of 39 with Type 2 diabetes so I'm pretty sure I shouldn't have any problems but would just like as much info before I pursue it. Thanks!!

Hi Mike I have Anthem BCBS and I was approved yesterday and all we submitted was letter of medical necessity,lab work, Psych and Nutritional Evaluations, BMI, and non-surgical weight reduction documented attempts (i used WW, nutrisystem, etc)..........hope this helps!

BTW it took only two days for my approval :lol: Anthem BCBS is the best by far!!

Share this post


Link to post
Share on other sites

Thanks!! I was really excited after reading this thread but then I talked to Anthem today and my group policy has an exclusion:cursing::thumbup::cursing:. Needless to say I am very disappointed. I even asked about medically neccessity and nope, nothing! I have type 2 diabtes, high Cholesterol and high triglycerides with a BMI of 39. Looks like it'll be back to Weight Watchers

Share this post


Link to post
Share on other sites

I have Anthem Blue Cross and was approved the following week after the psychologist submitted her report of our meeting. I had three months from the date of approval to have my surgery. Blue Cross called me and assigned someone to me to answer any questions about the surgery and after the surgery. They have called several times to see how I was doing. I was quite amazed. They never did they before with my other surgeries (knee surgeries and cataract). Good luck to you! I hope you are approved soon and you will be on your way!

Share this post


Link to post
Share on other sites

Hi. Just curious...My BMI is <40 also (with Anthem BCBS). Wondering what comorbs you had to get approved. My PCP is all for the surgery and wants to help all he can. I have issues but not severe (yet).

Share this post


Link to post
Share on other sites

Hi. Just curious...My BMI is <40 also (with Anthem BCBS). Wondering what comorbs you had to get approved. My PCP is all for the surgery and wants to help all he can. I have issues but not severe (yet).

sleep apena, hypertension,diabetes will get you approved for sure........not sure about anything else my BMI was 41 so I lucked out in a sense.............

Share this post


Link to post
Share on other sites

Hi. Just curious...My BMI is <40 also (with Anthem BCBS). Wondering what comorbs you had to get approved. My PCP is all for the surgery and wants to help all he can. I have issues but not severe (yet).

Hi Jill

My BMI was 43 and I had osteoarthritis and sleep apnea. BC is very good about their standards. They criteris is 40 BMI with some issues (like HTN/diabetes/sleepapnea/arthritis) or 35 BMI with more serious issues.

If your over 50 you probably have osteoarthritis as most people do and my guess is you also have sleep apnea which your surgeon should be sending you for a sleep study.

good luck

sharon;)

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

    ×