BCBS Of Florida PPO

[blevy 0]

Hi all!!! I a newbie here (as in I just found this site TODAY)!!!!

My question is: Has anyone been approved with BCBS Of Florida PPO?? Any information I can get will certainly help!!!

Before I asked the question I did search within the threads and I did find useful info, what I was looking for as far as Florida was a few years old and I was looking for info that was more recent!!!

Thanks in advance!!! :tt2:

Edited September 2, 2008 by blevy

[gordonfamily3 0]

I work for a local bariatric surgeon in NC and I can't say I have ever done anything w/ BCBS FL but I did a quick search and here is their medical policy. This is normally what I read when a patient comes in w/ an insurance before. I hope this is somewhat helpful. I normally don't have any problems w/ the BCBS plans and I have worked w/ several of them.

BCBSF Medical Coverage Guidelines (MCG) (if it doesn't bring you to the right place look for the medical coverage guidelines and then search for Morbid Obesity.)

Good Luck!

[blevy 0]

:teeth_smile:Thanks so much!!!! That link was GREAT!!!!!

I guess I'm just a bit confused, because in reading it says that they won't cover. Then it goes on to say only if medically necessary!! Who decides that??? It's driving me CRAZY!!!!

Has anyone else come across this issue with their insurance????

Did you see this with other BCBS coverage???:shades_smile:

[greendragon 0]

I have BCBS of FLorida and the answer is - it depends. BCBS of Florida does cover it if it's medically necessary. However, there is also a rider that your individual company has to purchase. Some companies (if they are 'fully insured' rather than 'self-insured') are not allowed to purchase it (like mine). So therefore, mine is not covered, even if medically necessary :smile2: