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

Please help - Insurance BC/BS of AL



Recommended Posts

I have BCBS of Texas and have been approved. I started the process in November 2008 and was approved June 30, 2009...a LONG process of 6 months with a dietitian, cardio evaluation, pulmonary evaluation, psych evaluation, but it's all worth it b/c my surgery is set for Aug. 5th....pre-op appt is tomorrow to start the pre-op diet. Just stick with it and fight for yourself! Luckily, my dr's office has a bull dog working for it who fights with insurance companies until she gets the answer she wants! ^_^

Share this post


Link to post
Share on other sites

I have BCBS of MN and just received a denial letter yesterday. They stated it because I only had 2 mths of a supervised weight program, but had all the backup submitted showed two YEARS!!! The insurance cooridinator at the hospital appealed on my behalf, and now I'm waiting for an answer. It's so frustrating.:biggrin:

Share this post


Link to post
Share on other sites

I have Keystone HealthPlan East (BC/BS of PA). It's a PPO plan and the requirements are the same as the Anthem one. My surgeon said that the approval process is pretty quick and easy with them (God I hope that's true!) As long as I do the 3-month pre-op plan with the nutritionist and behavioral therapist, I should be fine (so they say). I have heard different things from state to state about BC/BS, so maybe the requirements vary by state?

Good luck and DON'T GIVE UP!!!!!

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

    • Alisa_S

      Gearing up for my consult 01/14! Starting to get a little nervous.
      · 0 replies
      1. This update has no replies.
    • Goyafigs

      I had VSG 11.20.24 with Miguel Burch, MD Cedars-Sinai and I am 1 month post-op. 
      · 0 replies
      1. This update has no replies.
    • DaisyChainOz

      🥳 Jan 1 2025 - Day 1 of Pre Op, surgery on the 16th! 😬😅
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A.             Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
      What happened at your first consult? Trying to get an idea of what to expect, or maybe I should say, what NOT to expect.
      · 0 replies
      1. This update has no replies.
    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
  • 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

    ×