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

BCBS Illinois Update-Need more info for approval



Recommended Posts

So....I heard from my surgeon's office today, who talked to BCBSIL today. They said I need to fulfill my 6 months supervised weight loss program, which is ONE more visit with my Primary Care Dr. SO....not the news I had hoped for, but the second best news for sure. They could have just flat out denied me. I was hoping they would count my Weigh****chers, but they said it had to be DR supervised, which was not a surprise either. It seems as if they are going to take 6 visits rather than 6 full months (180 days), so that is great news, hopefully they will follow through with that anyway.

So I have an appointment with my physician on Sept 2 and then hopefully we will get this to ins asap and get a quick approval... That is my update. I am very excited, but yet trying to be somewhat guarded b/c I won't be 100% until I have the approval paper in my hands. Thanks

Amy

Share this post


Link to post
Share on other sites

I also have BC/BS IL. They approved me pretty quickly after I finished the 6 month diet. But I am confused, I didn't have to see a Doctor for my 6 month diet. They told me it could be any supervised diet such as weight watchers, nutri system, la weight loss...etc.. I had not done that in the past year so I had to counsel with a nutritionist once a month for 6 months. After I finished that and the Dr sent it in, I got approved within a week. Of course, I also had to have a sleep study, see a psychologist for an evaluation and have some extra testing done by the Dr. But I really don't think that was insurance required but maybe physician required. Anyway, my insurance paid 100% and I paid nothing except office co-pays. Good luck. Hope everything goes great!!!

Share this post


Link to post
Share on other sites

Perky66- Your counseling with the nutritionist is the same requirement as the counseling I have with my Dr., I think. I did not need a sleep study, but I did do the psych testing. I am sure hoping for a very quick approval after my Dr appt on Sept 2nd. I know I will have some out of pocket cost, b/c of my High deductible plan, but I know about that, so... Thanks for your post!!

Share this post


Link to post
Share on other sites

Hi. I have BCBS of Ill, also. My doctor used 6 appointments that I had previously. We are going to see if they are going to accept that. I had to do the psych evaluation and nutritionist visit. I am just waiting for my surgeon's office to send my information to insurance for approval. I wish you good luck with yours.

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

    ×