Empire BCBS PPO

[hlubag 0]

Does anyone have Empire BC/BS PPO and willing to share what the process was like getting approved?

I am at the very begining of what I am sure is a long process and have no idea what I am in for as far as the insurance is concerned.

Thanks!!

Heather

[rmbalcarcel 0]

well i have bcbs ppo and i went for my last consults thurs. 11/12 and i just got my approval TODAY!!! holy cr@p!! I dont know how typical this is my thats my story!! Now i just ahve to call the surgeon back and schedule my date!!!!!!!:w00t::lol:

[hlubag 0]

Awesome! Congratulations!

Can you tell me what they required for you to be approved? Did you have to do the diet that I am hearing about that some insurance companies require?

My policy states this: The patient must have actively participated in non-surgical methods of weight reduction; these efforts must be fully appraised by the physician requesting authorization for surgery;

I'm unsure if this means a supervised diet or not.

[rmbalcarcel 0]

mine also stated that but all that was required was my surgeon documenting that i was overweight all my life, that i have tried and failed at other diets etc etc.. i also needed to have a nutrtional and psych consult ekg gallbladder sono(but i dont have one so that wasnt necessary) bloodwork. since i dont have any comorbitity issues i didnt have too much to do. also i have a 41.6 BMI.

[hlubag 0]

Thanks!

My BMI is 41.7 according to the BMI calculator.

[rmbalcarcel 0]

well i just got my approval and i am going to get banded in 11/30!!!!! Hot diggety dog !!!

[hlubag 0]

That's AWESOME!

If you don't mind me asking, when did you attend your seminar? I am attending one on Tuesday.

[rmbalcarcel 0]

I took my last seminar in september. I went to quite a few before i picked my surgeon.