NewSparky

I just went through similar discussions with various individuals at Anthem Blue Cross in California. I couldn’t get a definitive answer before submitting the paperwork through my chosen surgeons office. Here’s what I discussed with them upon submitting my paperwork: I submitted documentation (details with dates, length of diet plans, location etc.) In my case, I had a gym membership and a personal trainer for 6 months and I had the gym print out my visits. I also had joined Coastal Medical Group, a weight loss office and had proof of that involvement even though I only went once a week for 3 months. They look at duration!!! Even though my BMI was 38, I had high blood pressure and I snored terribly. My insurance approved my Sleeve gastrectomy 11/22/17 and I’m alittle over 6 weeks out. I’m 27 lbs lighter, blood pressure is normal and no more snoring!!! Stay diligent when dealing with Anthem. Call, call, call! Have your surgeons insurance administrator call the people at Anthem who approve the surgery coverage, with you in the office to see if there is any issues with your paperwork. It’s easier to do this than get denied and basically start over. Good luck!

I just went through similar discussions with various individuals at Anthem Blue Cross in California. I couldn’t get a definitive answer before submitting the paperwork through my chosen surgeons office. Here’s what I discussed with them upon submitting my paperwork: I submitted documentation (details with dates, length of diet plans, location etc.) In my case, I had a gym membership and a personal trainer for 6 months and I had the gym print out my visits. I also had joined Coastal Medical Group, a weight loss office and had proof of that involvement even though I only went once a week for 3 months. They look at duration!!! Even though my BMI was 38, I had high blood pressure and I snored terribly. My insurance approved my Sleeve gastrectomy 11/22/17 and I’m alittle over 6 weeks out. I’m 27 lbs lighter, blood pressure is normal and no more snoring!!! Stay diligent when dealing with Anthem. Call, call, call! Have your surgeons insurance administrator call the people at Anthem who approve the surgery coverage, with you in the office to see if there is any issues with your paperwork. It’s easier to do this than get denied and basically start over. Good luck!