BSCS for Texas state employees

[BCW 0]

I have been denied because BSCS has an exclusion for WLS surgery to state employees. I was told that this was more a policy of the state than BSCS, and that no-one has ever succeeded in getting it reversed no matter how many appeals or lawyers they used. Does anyone know if this is true. I don't want to go to the hassel if its useless. I saw on the main site that BSCS has recently changed for approval in Colorado and New Mexico. Please let me know if you have any info. BCW

[Guest pdbeth]

Which type do you have? My husband has ActiveCare and I have HealthSelect, but we are both state employees. ActiveCare doesn't have an exclusion but HealthSelect does.

[BCW 0]

Alas! mine is HealthSelect. BCW

[luvracing 0]

HI,

I have Federal employee BC/BS and they will not pay for the lap band. I've called three times over the past six months and always get the same answer. They consider this a temporary fix, however if I wanted by-pass surgery, they would pay for it. I'm taking a loan from my retirement plan.

[Madeline's mom 0]

I have Mississippi/Tennessee federal Blue Cross/Blue Shield and I was also denied the lap band but approved for gastric bypass. However I have heard some Blue CRoss programs are paying for the band if BMI>50. Best of luck to you! I payed out of pocket for my band and went to Europe (spent around 6,000 for the surgery)