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Please help - Insurance BC/BS of AL



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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! ^_^

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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:

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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!!!!!

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