I have bcbs/il HMO and decided to have lap banding. I called bcbs and asked what my coverage was and the cs said that it is covered 100% if there is a referral from my PCP deeming it med nec. I was sooo happy that I felt like my life was going to finally be worth living because I wasn't stuck in this HUGE body with so many med problems. WELL I WAS IN FOR A BIG SURPRISE.
I went to the office and asked the Doc for a referral. She looked at me like I was crazy stating "Ive never had anybody ask me for such a thing" and "why would I want to go to such drastic extremes to lose weight"
and there medical group requires 12 months of supervised weight loss to even consider a referral. I just started to sob. I felt like someone and just CRUSHED MY SPIRIT.
so now I am going to switch to another group that requires 6months of dieting. I have a BMI of 36, but hypertension, pre diabetic, severe carpal tunnel, swollen knees, hyperlipidemia etc. All because of weight. I have lost and regained over 500lbs in 20 years.
I truelly believe I will end up dead in my 60's if I dont' lose and maintain wt loss soon.
ANY ADVISE IS WELCOMED