BCBS-FED, 6 mon wt loss program

[gumbo 0]

I have BCBS-FED insurance and called customer service three different times. Each time was told that 5 year wt loss history and 6 mon supervised wt loss program was not required..but if sent to them it would be reviewed along with other paper work and would help with determining if LB procedure is medically necessary. I also talked with SW Bariatric in Austin several times and they INSIST both are required by the insurance and actually got a little rude with me when I told them what the insurance co said. They said I could see the surgeon without that documentation but didn't think I'd be approved. I have BMI 43 plus 2 documented co morbidities. Has anyone ever had this problem? All suggestions would be appreciated.. Please help.....

[mom2twins 0]

You will get different stories from several people. If you have talked to the insurance company and know what they expect than the rest is just satisifing the doctors requirements. I would expect that with your BMI and co morbids you should be approved (in my opinion) but it is also not for the doctors office to determine if the insurance company will approve or not. As long as they send the paperwork in then the insurance company will do their part, and you go from there.