After having hit a brick wall with Blue Shield (if your Blue Shield coverage is through covered california, you are limited to doctors/facilities in Southern California, and the closest one for me is 6 hrs away), I am considering switching to Kaiser during the upcoming open enrollment. If you've had the procedure approved and you're with Kaiser Northern Calif, would you recommend them? Are their requirements so strict that a lot of people get declined? I had read somewhere that they require that you've been morbidly obese for at least 2 of the last 5 years. Is there somewhere I can find a list of the co-morbidities they consider? I have high cholesterol, fatty liver and stage 4 osteoarthritis and am right at 40 BMI, but they say that they will consider 35-39.9 BMIs if they have serious obesity-related health issues "such as diabetes, coronary heart disease or severe sleep apnea." So I feel like I need to gain a couple of lbs. (which I'm good at) to have a little cushion. I can't get info on the Kaiser website unless I am a member. Bottom line is, I don't want to switch to Kaiser only to discover that something will disqualify me. I see some specialists I'd prefer not to give up, so would hate to be stuck with Kaiser if I can't get approved for the surgery through them (or they don't cover it if you get it through covered california. )
Has anyone here with covered california navigated this maze?