Bcbs tn

luv2bslim · July 31, 2008

Does anyone have Blue Cross/Blue Shield of Tennessee? Can you share your experiences with approvals and their requirements? Thanks!:biggrin:

2BtinyinTN · July 31, 2008

I have BC of Tn. Basically to me it was a game I had to play with them. Thier first requirement is that you have lost 10% of your weight under doctors care within the past 2 yrs. If you have a BMI over 40 you don't have to have any co-morbidities. If your BMI is under 40 then you have to have 3 co-morbidities...like High B/P, Diabetes, sleep Apnea, etc. For me my BMI was over 40 with no co-morbidities. I had to go on the 10% diet. Lost the weight then my BMI was less then 40. The Dr's. office submitted it and I got denied because I don't have any co-morbidities. I gained some of that weight back within a couple of months...they resubmitted it and I got approved. Go figure!! I love my band!! Good luck. Let me know if you have any other questions.

luv2bslim · July 31, 2008

Thanks so much for that information. My BMI is 40, but it's been so long since I've been to a regular doctor that I don't know if I have any other problems or not. I'm glad you are happy with the band. I'm really excited about doing this, but my insurance has a $5000 deductible, so I'm trying to work around that. Thanks again!

The Fireman · July 31, 2008

I have BCBS of Tennessee through my employer.We re really self insured but BCBS just administers the plan.I was not required to lose 10%,but i was required to have a 6 month Dr. assisted weight loss program.I finished in Sept of 2007 and was approved in Nov.and had my surgery in Jan.2008.I have lost 63 pounds since Jan.21 and seem to be doing great.

FATW/3KIDS · October 4, 2008

Did you ever get approved? I have BCBS of TN and am gathering medical records right now. I just went to the seminar at Centennial and that it was very informative.