BSCS for Texas state employees

BCW · May 31, 2005

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

May 31, 2005

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 · May 31, 2005

Alas! mine is HealthSelect. BCW

luvracing · June 1, 2005

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 · June 3, 2005

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)