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BCBS Fed

I just got off the phone with customer service so I could find out my benefits and was told that after Jan 1, 2011 they where going to be tightening up their requirements for WLS and that in the furture patients will have to undergo supervised diet plans, ect, ect. The agent was a bit vague but now I am worried because there is no way that I will be having the surgery before that time. I could use advice about how to speed up the process.

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  • abraxasbear
    abraxasbear

    For what it's worth, there's another BCBS Federal thread in this category, and the approvals are coming VERY quickly. Once your surgeon's office has everything in, it appears they are granting the ap

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Wow so sorry to hear bout your hubby, maybe something will change, I hope you get all your stuff done with plenty of time. I wish you the best as well. :( gotta just keep pluggin- I have time for some vacation but this whole process is anyhwere from 2 weeks to two months depending on how long everything takes w ins. push come to shove I will just ASK, after I'm hired. I have not heard anything, but that's good,, the longer they take the better. I really hope all will be well with you and family.

Wow so sorry to hear bout your hubby, maybe something will change, I hope you get all your stuff done with plenty of time. I wish you the best as well. :( gotta just keep pluggin- I have time for some vacation but this whole process is anyhwere from 2 weeks to two months depending on how long everything takes w ins. push come to shove I will just ASK, after I'm hired. I have not heard anything, but that's good,, the longer they take the better. I really hope all will be well with you and family.

Thanks for the good wishes. I think we will be fine, not rich, but at least we have a retirement. I truly feel for the ones in their forties and fifties who aren't eligible to retire and signed up for life. I am also thankful that we will have health benefits even though we have to pay for them. A lot of people won't have that option. So we really are a very blessed family. Take care and keep us posted on your current events.

Melinda

  • 2 weeks later...

I just found out I was approved today. My surgeon's insurance coordinator submitted my paperwork on Wednesday; they received the approval today. I have a BMI of 37, two co-morbidities, and I had 6 months of supervised dieting (taking Adipex) in 2009. I also met with my surgeon's NUT two times and they wrote up something as well. I'm waiting for the scheduler to call me.

I just found out I was approved today. My surgeon's insurance coordinator submitted my paperwork on Wednesday; they received the approval today. I have a BMI of 37, two co-morbidities, and I had 6 months of supervised dieting (taking Adipex) in 2009. I also met with my surgeon's NUT two times and they wrote up something as well. I'm waiting for the scheduler to call me.

Congratulations and all the best to you in your journey to good health.

Melinda

I have BCBS-Fed and taking all the necessary steps to get approved. Had my psych eval, nutrition eval, sleep study and endoscopy I completed this weekend. My insurance requires 3month supervised diet. Please wish me luck. The first time I tried to get a lapband was in 2008 and I gave up fighting with insurance. This time I will do what ever it takes. With a BMI of 36 and two comorbitities. I have much hope. My three month diet will be over dec. 7th. Congrats on the people who was approved. I feel there is some hope for me.

Just follow the guidelines to the tee and you will be fine i have bcbs fed basic and i was approved in less than 24hrs by care mgnt my surgey date on oct 11th

I have BCBS-Fed and taking all the necessary steps to get approved. Had my psych eval, nutrition eval, sleep study and endoscopy I completed this weekend. My insurance requires 3month supervised diet. Please wish me luck. The first time I tried to get a lapband was in 2008 and I gave up fighting with insurance. This time I will do what ever it takes. With a BMI of 36 and two comorbitities. I have much hope. My three month diet will be over dec. 7th. Congrats on the people who was approved. I feel there is some hope for me.

:angry:I have a road block. surgeon wants a esophageal momentry test done - see how swallow. cant find right connections to get this done. My GI dont do it, the surgeon can't read it, patience.. lots of patience,

:angry:I have a road block. surgeon wants a esophageal momentry test done - see how swallow. cant find right connections to get this done. My GI dont do it, the surgeon can't read it, patience.. lots of patience,

Oh, wow, would your primary care order it.......or a new gi? Anyone in his or her practice that will do them? Thinking of you, Keep your chin up....

Oh, wow, would your primary care order it.......or a new gi? Anyone in his or her practice that will do them? Thinking of you, Keep your chin up....

Tomorrow will be on the phone, From what the lady at the hospital said: is that anyone can order the procedure but a doctor has to read it and not all Drs can read them?? I think that is why the surgeon and the GI Dr say they dont do it. so yes in search tomorrow to see what to do. Its a mission! and thanks so much for sending me good vibes, I can use all the support I can get. :)

So today.- my surgeon gave me a GI's name who can do this manometry - next Tue. initial consult then when ever they want to do the actual test- then just wait on results and see what happens. I feel better today, because the surgeon found a solution to the problem. the GI doctor could have helped me... :angry: but I right now accepting OCT may not be my BANDING month, but ya never know,,, thanks again for the encouragement. :lol:

So today.- my surgeon gave me a GI's name who can do this manometry - next Tue. initial consult then when ever they want to do the actual test- then just wait on results and see what happens. I feel better today, because the surgeon found a solution to the problem. the GI doctor could have helped me... :angry: but I right now accepting OCT may not be my BANDING month, but ya never know,,, thanks again for the encouragement. :lol:

:):rolleyes:

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